Wal-Mart Stores East LP

NPI #1366469413 in Franklin, Wisconsin

Provider Information

NPI Number
1366469413
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 11, 2025

Practice Location

Address
6701 S 27TH ST
ZIP Code
53132-9430
Phone
(414) 761-9571

Authorized Official

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

Specialties & Taxonomy Codes

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

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