Wal-Mart Stores East LP
NPI #1467890731 in Fruit Cove, Florida
Provider Information
- NPI Number
- 1467890731
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 10, 2013
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 445 STATE ROAD 13
- City
- Fruit Cove
- State
- Florida
- ZIP Code
- 32259-3838
- Phone
- (904) 417-9089
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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