Wal-Mart Stores East LP

NPI #1205853314 in Henryetta, Oklahoma

Provider Information

NPI Number
1205853314
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 28, 2025

Practice Location

Address
605 E MAIN ST
ZIP Code
74437-4439
Phone
(918) 652-9447

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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