Wal-Mart Stores East LP

NPI #1689692378 in The Village, Oklahoma

Provider Information

NPI Number
1689692378
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jun 16, 2025

Practice Location

Address
9320 N PENNSYLVANIA PL
ZIP Code
73120-1519
Phone
(405) 840-2105

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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