Wal-Mart Stores East LP

NPI #1427205244 in Middletown, Delaware

Provider Information

NPI Number
1427205244
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 22, 2008
Last Updated
Jul 8, 2025

Practice Location

Address
705 MIDDLETOWN WARWICK RD
ZIP Code
19709-9095
Phone
(302) 449-1254

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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