Wal-Mart Stores East LP

NPI #1861657181 in Potsdam, New York

Provider Information

NPI Number
1861657181
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 25, 2008
Last Updated
Jun 19, 2025

Practice Location

Address
7494 US HIGHWAY 11
ZIP Code
13676-3577
Phone
(315) 268-6900

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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