Wal-Mart Stores East LP

NPI #1750639712 in Madison, Alabama

Provider Information

NPI Number
1750639712
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 24, 2012
Last Updated
Jun 16, 2025

Practice Location

Address
8580 HIGHWAY 72 W
State
Alabama
ZIP Code
35758-9578
Phone
(256) 890-1296

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 PharmacyCommunity/Retail Pharmacy

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