Wal-Mart Stores East LP

NPI #1841423860 in Mount Juliet, Tennessee

Provider Information

NPI Number
1841423860
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 25, 2009
Last Updated
Jul 14, 2025

Practice Location

Address
300 PLEASANT GROVE RD STE 600
ZIP Code
37122-3792
Phone
(615) 758-1511

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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