Wal-Mart Stores East LP

NPI #1295042257 in Somerdale, New Jersey

Provider Information

NPI Number
1295042257
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 10, 2010
Last Updated
Jul 10, 2025

Practice Location

Address
1 COOPERTOWNE BLVD
ZIP Code
08083-1433
Phone
(856) 545-9074

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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