Wal-Mart Stores East LP
NPI #1710272877 in King George, Virginia
Provider Information
- NPI Number
- 1710272877
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 16, 2011
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 16375 MERCHANTS LN
- City
- King George
- State
- Virginia
- ZIP Code
- 22485-5655
- Phone
- (540) 413-3144
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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