1629558937 WAL-MART STORES EAST, LP

Community/Retail Pharmacy

Active

Basic Information

Organization Name
WAL-MART STORES EAST, LP
Enumeration Date
August 16, 2018
Last Update
June 4, 2025
Authorized Official
KIMBERLY CANONIC
SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 277-6348

Practice Location

Address
845 DURBIN PAVILION DR
SAINT JOHNS, FL 322590000
Phone
(479) 277-9170

Mailing Address

Address
702 SW 8TH ST
BENTONVILLE, AR 727160445
Phone
(479) 277-9170
Fax
(479) 277-4331

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
 332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Specialty Pharmacy
Specialty Pharmacy
 3336S0011X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
 3336C0003X Pharmacy N/A N/A Primary

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

Frequently Asked Questions

What is WAL-MART STORES EAST, LP's NPI number?
WAL-MART STORES EAST, LP's NPI number is 1629558937.
Which doctor has NPI number 1629558937?
The doctor with NPI number 1629558937 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 845 DURBIN PAVILION DR, SAINT JOHNS, FL, 322590000.
Which doctor practices at 845 DURBIN PAVILION DR, SAINT JOHNS, FL, 322590000?
WAL-MART STORES EAST, LP practices at 845 DURBIN PAVILION DR, SAINT JOHNS, FL, 322590000.
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 (479) 277-9170.
Who is (479) 277-9170?
(479) 277-9170 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 (479) 277-9170 to inquire about availability.
Is NPI 1629558937 still active?
Yes, NPI 1629558937 is currently active.
Where does WAL-MART STORES EAST, LP practice?
WAL-MART STORES EAST, LP practices in SAINT JOHNS, FL.