Wal-Mart Stores East LP
NPI #1740503051 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1740503051
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores East LP
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 2, 2010
- Last Updated
- Jul 10, 2025
Practice Location
- Address
- 25 TOBIAS BOLAND WAY
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01607-2103
- Phone
- (774) 314-3162
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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