Wal-Mart Stores East LP

NPI #1962954453 in Virginia Beach, Virginia

Provider Information

NPI Number
1962954453
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Oct 31, 2016
Last Updated
Jun 10, 2025

Practice Location

Address
546 FIRST COLONIAL RD
ZIP Code
23451-6120
Phone
(757) 364-7614

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
Pharmacy

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