Wal-Mart Stores East LP

NPI #1154725935 in Madison, Alabama

Provider Information

NPI Number
1154725935
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 22, 2014
Last Updated
Jun 12, 2025

Practice Location

Address
7140 WALL TRIANA HWY
State
Alabama
ZIP Code
35757-7420
Phone
(256) 970-6194

Authorized Official

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

Specialties & Taxonomy Codes

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

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