WAL-MART STORES EAST LP

DERIDDER, LA
NPI1982621223
Doing Business AsWALMART PHARMACY 10-0505
Entity TypeOrganization
Authorized ContactKIMBERLY CANONIC
Senior Director, Enrollment
480-277-6348
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: LA  4893RC)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
333600000X Pharmacy
Enumeration Date2006-07-16
Last Update Date2025-06-03
Business Address
WAL-MART STORES EAST LP
1125 N PINE ST
DERIDDER, LA 70634-2819
Phone number: 337-462-5794
Mailing Address
WAL-MART STORES EAST LP
702 SW 8TH ST
BENTONVILLE, AR 72716-0445
Phone number: 479-277-1242