Wal-Mart Stores East LP
NPI #1023556511 in Yazoo City, Mississippi
Provider Information
- NPI Number
- 1023556511
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy
- Enumeration Date
- Feb 6, 2017
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 2129 GRAND AVE
- City
- Yazoo City
- State
- Mississippi
- ZIP Code
- 39194-2312
- Phone
- (662) 673-4020
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 Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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