Wal-Mart Stores East LP

NPI #1477944890 in Shepherdsville, Kentucky

Provider Information

NPI Number
1477944890
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 6, 2015
Last Updated
Jun 6, 2025

Practice Location

Address
545 CONESTOGA PKWY
ZIP Code
40165-6666
Phone
(502) 281-5006

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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