Wal-Mart Stores East, LP
NPI #1477735108 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1477735108
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East, LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Jul 8, 2025
Practice Location
- Address
- 66 STATE ROAD 344
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-6849
- Phone
- (505) 286-3053
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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