Wal-Mart Stores East , LP

NPI #1861419921 in Du Bois, Pennsylvania

Provider Information

NPI Number
1861419921
Entity Type
Organization
Organization Name
Wal-Mart Stores East , LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 17, 2025

Practice Location

Address
20 INDUSTRIAL DR
ZIP Code
15801-3842
Phone
(814) 375-5005

Authorized Official

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

Specialties & Taxonomy Codes

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

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