Wal-Mart Stores East LP
NPI #1063439354 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1063439354
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jul 1, 2025
Practice Location
- Address
- 910 WOLCOTT ST
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06705-1317
- Phone
- (203) 759-1637
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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