Wal-Mart Stores East LP

NPI #1710343611 in Crestwood, Kentucky

Provider Information

NPI Number
1710343611
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 7, 2016
Last Updated
Jun 10, 2025

Practice Location

Address
6501 VETERANS MEMORIAL PKWY
ZIP Code
40014-8694
Phone
(502) 241-3959

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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