WAL-MART STORES EAST LP

PORT ST LUCIE, FL
NPI1720112832
Doing Business AsWALMART PHARMACY 10-4260
Entity TypeOrganization
Authorized ContactKIMBERLY CANONIC
Senior Director, Enrollment
480-277-6348
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: FL  PH22560)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2007-03-14
Last Update Date2025-07-09
Business Address
WAL-MART STORES EAST LP
1850 SW GATLIN BLVD
PORT ST LUCIE, FL 34953-2703
Phone number: 772-336-8268
Mailing Address
WAL-MART STORES EAST LP
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone number: 479-277-1242