Wal-Mart Stores East LP
NPI #1649436387 in Fairhaven, Massachusetts
Provider Information
- NPI Number
- 1649436387
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 1, 2008
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 42 FAIRHAVEN COMMONS WAY
- City
- Fairhaven
- State
- Massachusetts
- ZIP Code
- 02719-4627
- Phone
- (508) 993-4250
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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