NPI 1003833294

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Mentor, OH

Practice location

Address: 9303 Mentor Ave, Mentor, OH 44060-6413
Phone: (440) 974-3301
Mailing address: 702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name: Kimberly Canonic
Title: Senior Director, Enrollment
Phone: (480) 853-0515

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 020713400 (OH)

Other Pharmacy providers in Ohio →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Ohio →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1003833294
Entity type: Organization
NPI issued: 16 Jul 2006
Record last updated: 12 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.