Wal-Mart Stores East LP

NPI #1851333090 in Unicoi, Tennessee

Provider Information

NPI Number
1851333090
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 12, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
110 ROCKY BOTTOM DR
City
Unicoi
ZIP Code
37692-4030
Phone
(423) 743-9998

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR ENROLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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