Wal-Mart Stores East LP

NPI #1093732364 in Augusta, Maine

Provider Information

NPI Number
1093732364
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 5, 2025

Practice Location

Address
201 CIVIC CENTER DR
State
Maine
ZIP Code
04330-8033
Phone
(207) 623-5144

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 PharmacyCommunity/Retail Pharmacy

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