Wal-Mart Stores East LP

NPI #1104843317 in Carmel, Indiana

Provider Information

NPI Number
1104843317
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Aug 6, 2025

Practice Location

Address
2001 E 151ST ST
City
Carmel
State
Indiana
ZIP Code
46033-7737
Phone
(317) 844-9064

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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