Wal-Mart Stores East LP
NPI #1912145103 in Waynesburg, Pennsylvania
Provider Information
- NPI Number
- 1912145103
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 27, 2009
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 405 MURTHA DR
- City
- Waynesburg
- State
- Pennsylvania
- ZIP Code
- 15370-7010
- Phone
- (724) 627-3546
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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