Wal-Mart Stores East LP
NPI #1144678343 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1144678343
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 27, 2016
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 150 SONOMA RANCH BLVD
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-1608
- Phone
- (575) 323-6097
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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