Wal-Mart Stores East LP

NPI #1912313552 in Plainfield, Indiana

Provider Information

NPI Number
1912313552
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 3, 2014
Last Updated
Jun 9, 2025

Practice Location

Address
900 W MAIN ST
State
Indiana
ZIP Code
46168-9407
Phone
(317) 204-1386

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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