Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Cape Girardeau, MO. Organization (NPI-2).
NPI number1982007258
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1982007258
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Oct 1, 2014
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 2015001237 | MO | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-7072 (Doing Business As)
Practice location
2021 Independence StCape Girardeau, MO 63703-5805
Phone 573-708-6981 · Fax 573-708-6982
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-2500 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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