Wal-Mart Stores East LP

NPI #1205380474 in Salem, Indiana

Provider Information

NPI Number
1205380474
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Aug 5, 2016
Last Updated
Jun 9, 2025

Practice Location

Address
1309 E HACKBERRY ST
City
Salem
State
Indiana
ZIP Code
47167-9604
Phone
(812) 883-8722

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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