Wal-Mart Stores East LP

NPI #1649297839 in Willowick, Ohio

Provider Information

NPI Number
1649297839
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 12, 2025

Practice Location

Address
33752 VINE ST
State
Ohio
ZIP Code
44095-5100
Phone
(440) 269-8828

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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