Wal-Mart Stores East LP
NPI #1639540263 in North Port, Florida
Provider Information
- NPI Number
- 1639540263
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 8, 2015
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 1100 S MAIN ST
- City
- North Port
- State
- Florida
- ZIP Code
- 34287-3500
- Phone
- (941) 240-3086
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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