NPI
Wal-Mart Stores East LP
Doing business as Wal-Mart Pharmacy 10-3295. NPI 1235156373
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-07-16
- Last updated
- 2025-06-18
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Specialties
Licenses
- License OK
- 384669
Location
- Practice location
- 6310 S Elm Pl
- City
- Broken Arrow OK
- Postal code
- 74011-4100
- Phone
- (918) 455-4386
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 Broken Arrow, OK. 2,338 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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