Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-4260
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
1850 SW GATLIN BLVD, PORT ST LUCIE, FL 34953-2703
(772) 336-8268
(479) 277-4331
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031974100
—
FL
01
—
2008642
PK
—
Enumeration date
03/14/2007
Last updated
07/09/2025
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