Wal-Mart Stores East, LP
NPI #1073985404 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1073985404
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WALMART INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 26, 2015
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 3031 MID RIVERS MALL DR
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63376-3426
- Phone
- (636) 697-1051
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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