Wal-Mart Stores East LP

NPI #1033580659 in Thibodaux, Louisiana

Provider Information

NPI Number
1033580659
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 8, 2015
Last Updated
Jun 12, 2025

Practice Location

Address
224 W MAIN ST
ZIP Code
70301-5426
Phone
(985) 492-5304

Authorized Official

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

Specialties & Taxonomy Codes

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

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