Wal-Mart Stores East LP
NPI #1649683368 in Independence, Missouri
Provider Information
- NPI Number
- 1649683368
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 10, 2014
- Last Updated
- Jun 9, 2025
Practice Location
- Address
- 3411 S NOLAND RD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-1319
- Phone
- (816) 252-0094
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 Pharmacy — Community/Retail Pharmacy |
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