Wal-Mart Stores East LP

NPI #1518194430 in Chesterfield, Virginia

Provider Information

NPI Number
1518194430
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 18, 2009
Last Updated
Jul 14, 2025

Practice Location

Address
14501 HANCOCK VILLAGE ST
ZIP Code
23832-2776
Phone
(804) 739-1668

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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