Wal-Mart Stores East LP

NPI #1639618770 in Stafford, Virginia

Provider Information

NPI Number
1639618770
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Feb 22, 2017
Last Updated
Jun 9, 2025

Practice Location

Address
14 N STAFFORD COMPLEX CENTER
ZIP Code
22556-0000
Phone
(540) 602-6119

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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