Wal-Mart Stores East LP

NPI #1528085685 in Rio Rancho, New Mexico

Provider Information

NPI Number
1528085685
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 8, 2025

Practice Location

Address
901 UNSER BLVD SE
ZIP Code
87124-6365
Phone
(505) 962-9239

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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