Wal-Mart Stores East LP

NPI #1053747071 in Princeton, Indiana

Provider Information

NPI Number
1053747071
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 23, 2013
Last Updated
Jun 10, 2025

Practice Location

Address
4924 S MAPLE TREE DR
State
Indiana
ZIP Code
47670-9278
Phone
(812) 385-0757

Authorized Official

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

Specialties & Taxonomy Codes

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

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