Wal-Mart Stores East LP
NPI #1144564782 in Newport News, Virginia
Provider Information
- NPI Number
- 1144564782
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 20, 2012
- Last Updated
- Jun 18, 2025
Practice Location
- Address
- 6111 JEFFERSON AVE
- City
- Newport News
- State
- Virginia
- ZIP Code
- 23605-1511
- Phone
- (757) 637-4217
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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