Wal-Mart Stores East LP

NPI #1083631147 in Albuquerque, New Mexico

Provider Information

NPI Number
1083631147
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 16, 2025

Practice Location

Address
3500 COORS BLVD SW
ZIP Code
87121-5274
Phone
(505) 877-8987

Authorized Official

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

Specialties & Taxonomy Codes

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

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