Wal-Mart Stores East LP

NPI #1518040567 in Kent, Ohio

Provider Information

NPI Number
1518040567
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 23, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
250 TALLMADGE RD
City
Kent
State
Ohio
ZIP Code
44240-7204
Phone
(330) 673-3368

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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