Wal-Mart Stores East LP

NPI #1093187361 in Morristown, Tennessee

Provider Information

NPI Number
1093187361
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Oct 27, 2015
Last Updated
Jun 13, 2025

Practice Location

Address
1997 BUFFALO TRL
ZIP Code
37814-4364
Phone
(423) 254-6594

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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