Wal-Mart Stores East LP

NPI #1013244961 in North Bergen, New Jersey

Provider Information

NPI Number
1013244961
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 13, 2009
Last Updated
Jul 8, 2025

Practice Location

Address
2100 88TH ST
ZIP Code
07047-4709
Phone
(201) 758-2891

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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