Wal-Mart Stores East LP

NPI #1629339189 in Greece, New York

Provider Information

NPI Number
1629339189
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 31, 2012
Last Updated
Jun 16, 2025

Practice Location

Address
3800 DEWEY AVE
City
Greece
ZIP Code
14616-2529
Phone
(585) 957-7389

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

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