Wal-Mart Stores East LP

NPI #1154783462 in Labelle, Florida

Provider Information

NPI Number
1154783462
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 25, 2016
Last Updated
Jun 9, 2025

Practice Location

Address
1951 W HICKPOCHEE AVE
State
Florida
ZIP Code
33935-4792
Phone
(863) 302-6009

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 PharmacyCommunity/Retail Pharmacy

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