Wal-Mart Stores East LP

NPI #1922026681 in Holdenville, Oklahoma

Provider Information

NPI Number
1922026681
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
May 29, 2025

Practice Location

Address
500 E HIGHWAY ST # 270
ZIP Code
74848-4238
Phone
(405) 379-3305

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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