Wal-Mart Stores East LP

NPI #1205853587 in Abingdon, Maryland

Provider Information

NPI Number
1205853587
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 6, 2025

Practice Location

Address
401 CONSTANT FRIENDSHIP BLVD
ZIP Code
21009-2566
Phone
(410) 569-9406

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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