Wal-Mart Stores East LP

NPI #1457709651 in Dania Beach, Florida

Provider Information

NPI Number
1457709651
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
May 27, 2016
Last Updated
Jun 10, 2025

Practice Location

Address
401 E SHERIDAN ST
State
Florida
ZIP Code
33004-4603
Phone
(954) 988-5210

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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