Wal-Mart Stores East LP

NPI #1801213483 in Tallassee, Alabama

Provider Information

NPI Number
1801213483
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 21, 2014
Last Updated
Jun 4, 2025

Practice Location

Address
2190 GILMER AVE
State
Alabama
ZIP Code
36078-7123
Phone
(334) 991-3207

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

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