Wal-Mart Stores East LP

NPI #1609117720 in Sweetwater, Tennessee

Provider Information

NPI Number
1609117720
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 14, 2013
Last Updated
Jun 6, 2025

Practice Location

Address
935 STATE HIGHWAY 11 SOUTH
ZIP Code
37874
Phone
(423) 337-3052

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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