Wal-Mart Stores East LP

NPI #1194952002 in Hooksett, New Hampshire

Provider Information

NPI Number
1194952002
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 18, 2009
Last Updated
Jun 19, 2025

Practice Location

Address
3 COMMERCE DR
ZIP Code
03106-2528
Phone
(603) 621-0631

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 PharmacyCommunity/Retail Pharmacy

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