Wal-Mart Stores East LP

NPI #1811341084 in Alamogordo, New Mexico

Provider Information

NPI Number
1811341084
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy
Enumeration Date
Apr 14, 2016
Last Updated
Jun 10, 2025

Practice Location

Address
2401 INDIAN WELLS ROAD
ZIP Code
88310-3831
Phone
(575) 812-7045

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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