Wal-Mart Stores East , LP

NPI #1952704751 in Yukon, Oklahoma

Provider Information

NPI Number
1952704751
Entity Type
Organization
Organization Name
Wal-Mart Stores East , LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 7, 2014
Last Updated
Jul 2, 2025

Practice Location

Address
1001 E MAIN ST
City
Yukon
ZIP Code
73099-2137
Phone
(405) 577-0051

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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