Wal-Mart Stores East LP

NPI #1033136254 in Wabash, Indiana

Provider Information

NPI Number
1033136254
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
1601 N CASS ST
City
Wabash
State
Indiana
ZIP Code
46992-9404
Phone
(260) 563-4033

Authorized Official

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

Specialties & Taxonomy Codes

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

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