Wal-Mart Stores East LP
NPI #1083932156 in Taylor, Pennsylvania
Provider Information
- NPI Number
- 1083932156
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 13, 2010
- Last Updated
- Jul 9, 2025
Practice Location
- Address
- 1325 MAIN ST
- City
- Taylor
- State
- Pennsylvania
- ZIP Code
- 18504-3213
- Phone
- (570) 344-5220
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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