Wal-Mart Stores East LP

NPI #1568727022 in Haymarket, Virginia

Provider Information

NPI Number
1568727022
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 11, 2012
Last Updated
Jun 5, 2025

Practice Location

Address
6530 TRADING SQ
ZIP Code
20169-2278
Phone
(703) 468-2465

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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