Wal-Mart Stores East LP

NPI #1013467505 in Knoxville, Tennessee

Provider Information

NPI Number: 1013467505
Entity Type: Organization
Organization Name: Wal-Mart Stores East LP
Primary Specialty: Pharmacy
Enumeration Date: Oct 7, 2016
Last Updated: Jun 12, 2025

Practice Location

Address: 3120 MCKAMEY RD
City: Knoxville
State: Tennessee
ZIP Code: 37921-4982
Phone: (865) 340-4507

Authorized Official

Name: KIMBERLY CANONIC
Title: SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 853-0515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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