Wal-Mart Stores East LP

NPI #1407190036 in Lecanto, Florida

Provider Information

NPI Number
1407190036
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 20, 2012
Last Updated
Jun 16, 2025

Practice Location

Address
1936 N LECANTO HWY
State
Florida
ZIP Code
34461-9680
Phone
(352) 228-6003

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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