Wal-Mart Stores East LP

NPI #1073883443 in Chantilly, Virginia

Provider Information

NPI Number
1073883443
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 3, 2012
Last Updated
Jun 4, 2025

Practice Location

Address
4368 CHANTILLY SHOPPING CENTER DR
ZIP Code
20151-4016
Phone
(571) 392-3087

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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