Wal-Mart Stores East LP
NPI #1134146491 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1134146491
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- May 30, 2025
Practice Location
- Address
- 1025 WALTON DR
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-7235
- Phone
- (573) 783-2663
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 Pharmacy — Community/Retail Pharmacy |
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