Wal-Mart Stores East LP
NPI #1972520229 in Port Allen, Louisiana
Provider Information
- NPI Number
- 1972520229
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 3255 LA HWY 1 S
- City
- Port Allen
- State
- Louisiana
- ZIP Code
- 70767
- Phone
- (225) 749-7454
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 Pharmacy — Community/Retail Pharmacy |
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