Wal-Mart Stores East LP

NPI #1487671764 in Sykesville, Maryland

Provider Information

NPI Number
1487671764
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 30, 2025

Practice Location

Address
6400A RIDGE RD STE 1
ZIP Code
21784-6272
Phone
(410) 549-5491

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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