Wal-Mart Stores East, LP

NPI #1568254183 in Milton, Florida

Provider Information

NPI Number
1568254183
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 20, 2025
Last Updated
Nov 4, 2025

Practice Location

Address
6275 US - 90
City
Milton
State
Florida
ZIP Code
32570-9998
Phone
(850) 750-3083

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, BILLING
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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