Wal-Mart Stores East LP

NPI #1114944337 in Frankfort, Indiana

Provider Information

NPI Number
1114944337
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 4, 2025

Practice Location

Address
2460 E WABASH ST
State
Indiana
ZIP Code
46041-9429
Phone
(765) 654-4056

Authorized Official

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

Specialties & Taxonomy Codes

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

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