Wal-Mart Stores East LP

NPI #1073991071 in Joplin, Missouri

Provider Information

NPI Number
1073991071
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 11, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
2426 S MAIDEN LN
City
Joplin
ZIP Code
64804-0348
Phone
(417) 208-0560

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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