Wal-Mart Stores East , LP
NPI #1881067346 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1881067346
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East , LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 5, 2015
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 1300 E ALBANY ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-8951
- Phone
- (918) 505-6246
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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