Wal-Mart Stores East LP
NPI #1639196942 in Fort Gratiot, Michigan
Provider Information
- NPI Number
- 1639196942
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jul 11, 2025
Practice Location
- Address
- 4845 24TH AVE
- City
- Fort Gratiot
- State
- Michigan
- ZIP Code
- 48059-3407
- Phone
- (810) 385-7747
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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