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Wal-Mart Stores East LP

Pharmacy, Community/Retail Pharmacy in Natrona Heights, PA. Organization (NPI-2).

NPI number1326224767
StatusActive
Last updated in NPPESJul 8, 2025

Details

NPI
1326224767
Entity type
Organization (NPI-2)
Legal business name
Wal-Mart Stores East LP
Organization subpart
No
Enumeration date
Jan 16, 2008
Certification date
Jul 8, 2025
Last updated
Jul 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPP481791PAYes
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Wal-Mart Pharmacy 10-3738 (Doing Business As)

Practice location

100 Highlands Mall
Natrona Heights, PA 15065-1971

Phone 724-226-6960

Mailing address

702 Sw 8th St
Bentonville, AR 72716-0445

Phone 479-204-8550 · Fax 479-277-4331

Authorized official

Kimberly Canonic
Senior Director, Enrollment
4808530515

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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