Wal-Mart Stores East LP

NPI #1003833377 in Bangor, Maine

Provider Information

NPI Number
1003833377
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 12, 2025

Practice Location

Address
900 STILLWATER AVE
City
Bangor
State
Maine
ZIP Code
04401-3602
Phone
(207) 947-5811

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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