Wal-Mart Stores East LP
NPI #1760409940 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1760409940
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 3, 2025
Practice Location
- Address
- 630 E BROADWAY BLVD
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-4900
- Phone
- (865) 475-3736
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 Pharmacy — Community/Retail Pharmacy |
Similar Providers
| Provider Name | |
|---|---|
| Mountain Valley Rx 05 INC | |
| R&m Pharmacy Llc. | |
| K-Va-T Food Stores, Inc. | |
| Jj Beans at Mossy Creek LLC | |
| James R Bradford |
Want to research this healthcare provider further?