NPI
Wal-Mart Stores East LP
Doing business as Walmart Pharmacy 10-5464. NPI 1033580659
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2015-10-08
- Last updated
- 2025-06-12
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Specialties
Licenses
- License LA
- PHY.007248-RC
Location
- Practice location
- 224 W Main St
- City
- Thibodaux LA
- Postal code
- 70301-5426
- Phone
- (985) 492-5304
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Thibodaux, LA. 1,511 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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