Wal-Mart Stores East LP

NPI #1154725893 in Lawton, Oklahoma

Provider Information

NPI Number
1154725893
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 9, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
3745 SW LEE BLVD
City
Lawton
ZIP Code
73505-8322
Phone
(580) 713-7703

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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