Whalio Doctors

NPI 1093732414

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Paducah, KY

Practice location

Address
3220 Irvin Cobb Dr, Paducah, KY 42003-0337
Phone
(270) 442-6404
Mailing address
702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name
Kimberly Canonic
Title
Senior Director, Enrollment
Phone
(480) 277-6348

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PO1592 (KY)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1093732414
Entity type
Organization
NPI issued
16 Jul 2006
Record last updated
30 May 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.