Wal-Mart Stores East LP

NPI #1568833192 in Dothan, Alabama

Provider Information

NPI Number
1568833192
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Oct 8, 2015
Last Updated
Jun 11, 2025

Practice Location

Address
3871 W MAIN ST
City
Dothan
State
Alabama
ZIP Code
36305-9394
Phone
(479) 277-8020

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
Pharmacy

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