Wal-Mart Stores East LP

NPI #1548467756 in Three Rivers, Michigan

Provider Information

NPI Number
1548467756
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 29, 2007
Last Updated
Jul 8, 2025

Practice Location

Address
101 S TOLBERT DR
ZIP Code
49093-8276
Phone
(269) 273-7833

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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