Wal-Mart Stores East LP

NPI #1285810614 in Medford, Wisconsin

Provider Information

NPI Number
1285810614
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 16, 2008
Last Updated
Jul 2, 2025

Practice Location

Address
1010 N 8TH ST
ZIP Code
54451-1278
Phone
(715) 748-9000

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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