Wal-Mart Stores East LP

NPI #1689057275 in Deltona, Florida

Provider Information

NPI Number
1689057275
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 1, 2015
Last Updated
Jun 9, 2025

Practice Location

Address
1569 SAXON BLVD
State
Florida
ZIP Code
32725-5833
Phone
(386) 457-6190

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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