Wal-Mart Stores East LP

NPI #1750828000 in Carencro, Louisiana

Provider Information

NPI Number
1750828000
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Jan 25, 2017
Last Updated
Jun 9, 2025

Practice Location

Address
3810 NE EVANGELINE TRWY
ZIP Code
70520-5966
Phone
(337) 520-3011

Authorized Official

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

Specialties & Taxonomy Codes

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

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