Wal-Mart Stores East LP

NPI #1194901520 in Hudson, Florida

Provider Information

NPI Number
1194901520
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 16, 2008
Last Updated
Jun 13, 2025

Practice Location

Address
12610 US HIGHWAY 19
City
Hudson
State
Florida
ZIP Code
34667-1954
Phone
(727) 861-0050

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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