Wal-Mart Stores East, LP
NPI #1629558937 in Saint Johns, Florida
Provider Information
- NPI Number
- 1629558937
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 16, 2018
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 845 DURBIN PAVILION DR
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-0000
- Phone
- (479) 277-9170
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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