Wal-Mart Stores East LP

NPI #1881759074 in The Villages, Florida

Provider Information

NPI Number
1881759074
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 27, 2006
Last Updated
Jul 9, 2025

Practice Location

Address
4085 WEDGEWOOD LN
State
Florida
ZIP Code
32162-9329
Phone
(352) 259-2844

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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