Wal-Mart Stores East LP
NPI #1134146301 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1134146301
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jul 2, 2025
Practice Location
- Address
- 2114 S MAIN ST
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-8817
- Phone
- (919) 562-9519
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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