Wal-Mart Stores East LP

NPI #1093105546 in Hazel Green, Alabama

Provider Information

NPI Number
1093105546
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 4, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
14595 HIGHWAY 231 431 N
State
Alabama
ZIP Code
35750-9403
Phone
(256) 828-0029

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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