Wal-Mart Stores East LP
NPI #1205944691 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1205944691
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 27, 2006
- Last Updated
- Jun 19, 2025
Practice Location
- Address
- 19501 NW 27TH AVE
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33056-2521
- Phone
- (305) 622-6668
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 Pharmacy — Community/Retail Pharmacy |
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