Wal-Mart Stores East LP

NPI #1295139061 in Riverview, Florida

Provider Information

NPI Number
1295139061
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 22, 2014
Last Updated
Jun 9, 2025

Practice Location

Address
10327 BIG BEND RD
State
Florida
ZIP Code
33578-7414
Phone
(813) 498-4101

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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