Wal-Mart Stores East LP

NPI #1760400428 in Checotah, Oklahoma

Provider Information

NPI Number
1760400428
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
May 30, 2025

Practice Location

Address
131 S PAUL CARR DR
ZIP Code
74426-2063
Phone
(918) 473-5404

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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