Wal-Mart Stores East LP

NPI #1700803822 in Rochester, New Hampshire

Provider Information

NPI Number
1700803822
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 18, 2025

Practice Location

Address
116 FARMINGTON RD
ZIP Code
03867-4352
Phone
(603) 332-5540

Authorized Official

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

Specialties & Taxonomy Codes

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

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