Wal-Mart Stores East LP

NPI #1336542273 in Prairieville, Louisiana

Provider Information

NPI Number
1336542273
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 7, 2014
Last Updated
Jun 9, 2025

Practice Location

Address
40567 HIGHWAY 42
ZIP Code
70769-5250
Phone
(225) 622-4211

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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