Wal-Mart Stores East LP

NPI #1528482288 in Newport, North Carolina

Provider Information

NPI Number
1528482288
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 14, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
6645 HIGHWAY 70
ZIP Code
28570-3400
Phone
(252) 515-5004

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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