Wal-Mart Stores East LP

NPI #1477912772 in Saint Cloud, Florida

Provider Information

NPI Number
1477912772
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 15, 2016
Last Updated
Jun 10, 2025

Practice Location

Address
2125 NOLTE RD
State
Florida
ZIP Code
34772-8762
Phone
(407) 556-0994

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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