Wal-Mart Stores East , LP
NPI #1134146285 in State College, Pennsylvania
Provider Information
- NPI Number
- 1134146285
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East , LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jul 11, 2025
Practice Location
- Address
- 1665 N ATHERTON ST
- City
- State College
- State
- Pennsylvania
- ZIP Code
- 16803-1417
- Phone
- (814) 237-8415
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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