Wal-Mart Stores East LP

NPI #1669865986 in Forest, Virginia

Provider Information

NPI Number
1669865986
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 11, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
16807 FOREST RD
City
Forest
ZIP Code
24551-4915
Phone
(434) 209-6043

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

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