Wal-Mart Stores East LP

NPI #1093111809 in Alexandria, Louisiana

Provider Information

NPI Number
1093111809
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 6, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
812 BELLEAU WOOD BLVD
ZIP Code
71303-2584
Phone
(318) 625-3769

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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