Wal-Mart Stores East LP

NPI #1427509561 in King, North Carolina

Provider Information

NPI Number
1427509561
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Oct 24, 2016
Last Updated
Jun 10, 2025

Practice Location

Address
204 INGRAM DR
City
King
ZIP Code
27021-8206
Phone
(336) 296-6038

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
Pharmacy

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