Wal-Mart Stores East LP

NPI #1710904875 in Rhinelander, Wisconsin

Provider Information

NPI Number
1710904875
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 10, 2025

Practice Location

Address
2121 LINCOLN ST
ZIP Code
54501-3678
Phone
(715) 362-8580

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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