Wal-Mart Stores East LP

NPI #1386038149 in Burgaw, North Carolina

Provider Information

NPI Number
1386038149
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 19, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
908 NC HIGHWAY 53 E
City
Burgaw
ZIP Code
28425-4585
Phone
(910) 789-6006

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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