Wal-Mart Stores East LP

NPI #1063430726 in Altavista, Virginia

Provider Information

NPI Number
1063430726
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
125 CLARION RD
ZIP Code
24517-1164
Phone
(434) 309-2680

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 PharmacyCommunity/Retail Pharmacy

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