Wal-Mart Stores East LP

NPI #1316964687 in Amite, Louisiana

Provider Information

NPI Number
1316964687
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 2, 2025

Practice Location

Address
1200 W OAK ST
City
Amite
ZIP Code
70422-2762
Phone
(985) 748-7076

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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