Wal-Mart Stores East, LP

NPI #1811865652 in Apollo Beach, Florida

Provider Information

NPI Number
1811865652
Entity Type
Organization
Organization Name
Wal-Mart Stores East, LP
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 24, 2025
Last Updated
Oct 24, 2025

Practice Location

Address
5551 N US HWY 41
State
Florida
ZIP Code
33572-0000
Phone
(813) 922-7904

Authorized Official

Name
KIMBERLY CANONIC
Title
DIRECTOR OF HEALTH CARE CONTRACTING
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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