Wal-Mart Stores East LP
NPI #1457416661 in Smithville, Tennessee
Provider Information
- NPI Number
- 1457416661
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 27, 2006
- Last Updated
- Jul 11, 2025
Practice Location
- Address
- 515 W BROAD ST
- City
- Smithville
- State
- Tennessee
- ZIP Code
- 37166-1111
- Phone
- (615) 215-7580
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 Pharmacy — Community/Retail Pharmacy |
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