Wal-Mart Stores East LP
NPI #1679941660 in Fort Myers Beach, Florida
Provider Information
- NPI Number
- 1679941660
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 8, 2015
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 17105 SAN CARLOS BLVD
- City
- Fort Myers Beach
- State
- Florida
- ZIP Code
- 33931-5336
- Phone
- (239) 340-7073
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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