Wal-Mart Stores East LP

NPI #1992722292 in Brewton, Alabama

Provider Information

NPI Number
1992722292
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 11, 2025

Practice Location

Address
2578 DOUGLAS AVE
State
Alabama
ZIP Code
36426-3552
Phone
(251) 867-5358

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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