1407873714 WAL-MART STORES EAST LP
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- WAL-MART STORES EAST LP
- Enumeration Date
- July 16, 2006
- Last Update
- June 2, 2025
- Authorized Official
- KIMBERLY CANONIC
SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 277-6348
Practice Location
- Address
- 2355 US HIGHWAY 1 S
ST AUGUSTINE, FL 320866072 - Phone
- (904) 794-4134
Mailing Address
- Address
- 702 SW 8TH ST
BENTONVILLE, AR 727160445 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Specialty Pharmacy Specialty Pharmacy | 3336S0011X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | PH15457 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105158000 | 05 | FL | N/A |
| 2006830 | 01 | N/A | PK |
Digital Endpoints
CONNECT Use: OTHER
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2
Affiliation: Ability Network
CONNECT Use: OTHER
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2
Affiliation: Ability Network
Frequently Asked Questions
What is WAL-MART STORES EAST LP's NPI number?
WAL-MART STORES EAST LP's NPI number is 1407873714.
Which doctor has NPI number 1407873714?
The doctor with NPI number 1407873714 is WAL-MART STORES EAST LP.
What is WAL-MART STORES EAST LP's practice address?
WAL-MART STORES EAST LP's practice address is 2355 US HIGHWAY 1 S, ST AUGUSTINE, FL, 320866072.
Which doctor practices at 2355 US HIGHWAY 1 S, ST AUGUSTINE, FL, 320866072?
WAL-MART STORES EAST LP practices at 2355 US HIGHWAY 1 S, ST AUGUSTINE, FL, 320866072.
What is WAL-MART STORES EAST LP's mailing address?
WAL-MART STORES EAST LP's mailing address is 702 SW 8TH ST, BENTONVILLE, AR, 727160445.
What is WAL-MART STORES EAST LP's phone number?
WAL-MART STORES EAST LP's phone number is (904) 794-4134.
Who is (904) 794-4134?
(904) 794-4134 is the phone number for WAL-MART STORES EAST LP.
What is WAL-MART STORES EAST LP's specialty?
WAL-MART STORES EAST LP's specialty is Community/Retail Pharmacy.
What type of doctor is WAL-MART STORES EAST LP?
WAL-MART STORES EAST LP is a Community/Retail Pharmacy.
Is WAL-MART STORES EAST LP a Community/Retail Pharmacy?
Yes, WAL-MART STORES EAST LP is a Community/Retail Pharmacy.
Is WAL-MART STORES EAST LP still practicing?
Yes, WAL-MART STORES EAST LP is currently practicing.
Is WAL-MART STORES EAST LP accepting new patients?
WAL-MART STORES EAST LP may be accepting new patients. Please call their office at (904) 794-4134 to inquire about availability.
Is NPI 1407873714 still active?
Yes, NPI 1407873714 is currently active.
Where does WAL-MART STORES EAST LP practice?
WAL-MART STORES EAST LP practices in ST AUGUSTINE, FL.