Wal-Mart Stores East LP

NPI #1316964620 in Bartow, Florida

Provider Information

NPI Number
1316964620
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 2, 2025

Practice Location

Address
1050 E VAN FLEET DR
City
Bartow
State
Florida
ZIP Code
33830-7603
Phone
(863) 533-2131

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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