Wal-Mart Stores East LP

NPI #1013041797 in Franklin, Ohio

Provider Information

NPI Number
1013041797
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 15, 2007
Last Updated
Jul 8, 2025

Practice Location

Address
1275 EAST 2ND STREET
State
Ohio
ZIP Code
45005-0000
Phone
(937) 704-0697

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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