Wal-Mart Stores East LP
NPI #1639111495 in North Port, Florida
Provider Information
- NPI Number
- 1639111495
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Jun 19, 2025
Practice Location
- Address
- 17000 TAMIAMI TRL
- City
- North Port
- State
- Florida
- ZIP Code
- 34287-7281
- Phone
- (941) 423-8336
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 Pharmacy — Community/Retail Pharmacy |
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