Wal-Mart Stores East LP

NPI #1891084703 in Orange Beach, Alabama

Provider Information

NPI Number
1891084703
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 31, 2011
Last Updated
Jun 5, 2025

Practice Location

Address
25241 PERDIDO BEACH BLVD
State
Alabama
ZIP Code
36561-3309
Phone
(251) 974-1824

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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