Wal-Mart Stores East LP
NPI #1649297854 in Houghton Lake, Michigan
Provider Information
- NPI Number
- 1649297854
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 2129 W HOUGHTON LAKE DR
- City
- Houghton Lake
- State
- Michigan
- ZIP Code
- 48629-8236
- Phone
- (989) 366-6533
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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