Wal-Mart Stores East LP

NPI #1750308151 in Viera, Florida

Provider Information

NPI Number
1750308151
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 2, 2025

Practice Location

Address
8500 N WICKHAM RD
City
Viera
State
Florida
ZIP Code
32940-6600
Phone
(321) 242-6778

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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