Wal-Mart Stores East LP
NPI #1881912954 in Johnson City, New York
Provider Information
- NPI Number
- 1881912954
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 13, 2010
- Last Updated
- Jul 7, 2025
Practice Location
- Address
- 2 GANNETT DR
- City
- Johnson City
- State
- New York
- ZIP Code
- 13790-2260
- Phone
- (607) 644-1069
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 Pharmacy — Community/Retail Pharmacy |
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