Wal-Mart Stores East LP
NPI #1295917920 in Truth Or Consequences, New Mexico
Provider Information
- NPI Number
- 1295917920
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Jul 9, 2025
Practice Location
- Address
- 2001 HR ASHBAUGH DR
- State
- New Mexico
- ZIP Code
- 87901-3715
- Phone
- (575) 894-0343
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 |
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