Wal-Mart Stores East LP
NPI #1093991424 in White House, Tennessee
Provider Information
- NPI Number
- 1093991424
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 16, 2008
- Last Updated
- Jul 14, 2025
Practice Location
- Address
- 222 WILKINSON LN
- City
- White House
- State
- Tennessee
- ZIP Code
- 37188-9111
- Phone
- (615) 672-2881
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 Pharmacy — Community/Retail Pharmacy |
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