Wal-Mart Stores East LP
NPI #1255871778 in Egg Harbor Township, New Jersey
Provider Information
- NPI Number
- 1255871778
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy
- Enumeration Date
- Mar 2, 2017
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 6801 BLACK HORSE PIKE STE 100
- Address 2
- STE 100
- State
- New Jersey
- ZIP Code
- 08234-4131
- Phone
- (609) 415-6352
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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