Wal-Mart Stores East LP

NPI #1174540447 in Aberdeen, Maryland

Provider Information

NPI Number
1174540447
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 9, 2025

Practice Location

Address
645 S PHILADELPHIA BLVD
ZIP Code
21001-3613
Phone
(410) 273-9203

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
Pharmacy

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