Wal-Mart Stores East LP

NPI #1902825987 in Brandon, Florida

Provider Information

NPI Number
1902825987
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 19, 2006
Last Updated
Jun 19, 2025

Practice Location

Address
1208 E BRANDON BLVD
State
Florida
ZIP Code
33511-5529
Phone
(813) 643-5885

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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