Wal-Mart Stores East LP

NPI #1760515340 in Deltona, Florida

Provider Information

NPI Number
1760515340
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 13, 2007
Last Updated
Jun 19, 2025

Practice Location

Address
101 HOWLAND BLVD
State
Florida
ZIP Code
32738-9200
Phone
(407) 328-9414

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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