Wal-Mart Stores East LP

NPI #1093186629 in Theodore, Alabama

Provider Information

NPI Number
1093186629
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 8, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
7320 THEODORE DAWES RD
State
Alabama
ZIP Code
36582-4074
Phone
(251) 370-1721

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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