Wal-Mart Stores East LP
NPI #1861637902 in Greenacres, Florida
Provider Information
- NPI Number
- 1861637902
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 3, 2008
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 3911 S JOG RD
- City
- Greenacres
- State
- Florida
- ZIP Code
- 33467-1590
- Phone
- (561) 964-6467
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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