Wal-Mart Stores East LP

NPI #1851302376 in Clio, Michigan

Provider Information

NPI Number
1851302376
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 10, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
11493 N LINDEN RD
City
Clio
ZIP Code
48420-8586
Phone
(810) 564-4278

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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