Wal-Mart Stores East LP

NPI #1144248980 in Tiffin, Ohio

Provider Information

NPI Number
1144248980
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jul 11, 2025

Practice Location

Address
2801 W STATE ROUTE 18
City
Tiffin
State
Ohio
ZIP Code
44883-8950
Phone
(419) 447-9177

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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