Wal-Mart Stores East LP

NPI #1184647257 in Bristow, Oklahoma

Provider Information

NPI Number
1184647257
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 26, 2006
Last Updated
May 30, 2025

Practice Location

Address
105 W HIGHWAY 16
ZIP Code
74010-3390
Phone
(918) 367-5515

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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