WAL-MART STORES EAST , LP

SHREVEPORT, LA
NPI1396117735
Doing Business AsWALMART PHARMACY 10-6932
Entity TypeOrganization
Authorized ContactKIMBERLY CANONIC
Senior Director, Enrollment
480-277-6348
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: LA  PHY.007230-RC)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2015-10-26
Last Update Date2025-06-10
Business Address
WAL-MART STORES EAST , LP
4701 NORTHPORT BLVD
SHREVEPORT, LA 71107
Phone number: 318-929-3071
Mailing Address
WAL-MART STORES EAST , LP
702 SW 8TH ST MAILSTOP 0445
BENTONVILLE, AR 72716-0445
Phone number: 479-204-8550