Wal-Mart Stores East LP
NPI #1942618517 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1942618517
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 28, 2014
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 500 W MOUNT VERNON BLVD
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-1920
- Phone
- (417) 461-7028
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 Pharmacy — Community/Retail Pharmacy |
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