Wal-Mart Stores East LP
NPI #1053445999 in Montgomery, Alabama
Provider Information
- NPI Number
- 1053445999
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jul 11, 2025
Practice Location
- Address
- 10710 CHANTILLY PKWY
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36117-7587
- Phone
- (334) 272-7114
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 |
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