Wal-Mart Stores East LP

NPI #1447450317 in Ladysmith, Wisconsin

Provider Information

NPI Number
1447450317
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 19, 2007
Last Updated
Jul 9, 2025

Practice Location

Address
800 W 10TH ST S
ZIP Code
54848-6301
Phone
(715) 532-2721

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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