Whalio Doctors

NPI 1750828000

Wal-Mart Stores East LP

Organisation Pharmacy Carencro, LA

Practice location

Address
3810 NE Evangeline Trwy, Carencro, LA 70520-5966
Phone
(337) 520-3011
Fax
(337) 520-3011
Mailing address
702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445

Authorised official

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

Registered specialties (3)

Pharmacy Primary
Suppliers Taxonomy 333600000X Licence PHY.007444-RC (LA)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1750828000
Entity type
Organization
NPI issued
25 Jan 2017
Record last updated
9 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.