Wal-Mart Stores East LP

NPI #1215154208 in Mount Olive, North Carolina

Provider Information

NPI Number
1215154208
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 19, 2007
Last Updated
Jul 7, 2025

Practice Location

Address
308 NC HIGHWAY 55 W
ZIP Code
28365-8526
Phone
(919) 658-2608

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

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