Wal-Mart Stores East LP

NPI #1407873573 in Watertown, New York

Provider Information

NPI Number
1407873573
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 12, 2025

Practice Location

Address
20823 NYS RT 3
ZIP Code
13601-5577
Phone
(315) 786-7753

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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