Wal-Mart Stores East LP

NPI #1376560573 in Logan, Ohio

Provider Information

NPI Number
1376560573
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 18, 2025

Practice Location

Address
12910 STATE ROUTE 664 S
City
Logan
State
Ohio
ZIP Code
43138-8564
Phone
(740) 380-0469

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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