Wal-Mart Stores East LP

NPI #1508107152 in Decatur, Alabama

Provider Information

NPI Number
1508107152
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 6, 2013
Last Updated
Jun 6, 2025

Practice Location

Address
1203 6TH AVE SE
State
Alabama
ZIP Code
35601-4011
Phone
(256) 822-6366

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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