Wal-Mart Stores East LP

NPI #1720005135 in Picayune, Mississippi

Provider Information

NPI Number
1720005135
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 4, 2025

Practice Location

Address
235 FRONTAGE RD
ZIP Code
39466-7587
Phone
(601) 799-1063

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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