Wal-Mart Stores East LP

NPI #1083631139 in Plover, Wisconsin

Provider Information

NPI Number
1083631139
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 16, 2025

Practice Location

Address
250 CROSSROADS DR
City
Plover
ZIP Code
54467-4124
Phone
(715) 345-7870

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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