Wal-Mart Stores East LP

NPI #1023035243 in Kokomo, Indiana

Provider Information

NPI Number
1023035243
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 9, 2025

Practice Location

Address
1920 E MARKLAND AVE
City
Kokomo
State
Indiana
ZIP Code
46901-6236
Phone
(765) 456-3641

Authorized Official

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

Specialties & Taxonomy Codes

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

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