Wal-Mart Stores East LP
NPI #1083817829 in Breaux Bridge, Louisiana
Provider Information
- NPI Number
- 1083817829
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 8, 2007
- Last Updated
- May 30, 2025
Practice Location
- Address
- 1932 REES ST
- City
- Breaux Bridge
- State
- Louisiana
- ZIP Code
- 70517-4212
- Phone
- (337) 332-1100
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 Pharmacy — Community/Retail Pharmacy |
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