Wal-Mart Stores East LP

NPI #1861410557 in Saddle Brook, New Jersey

Provider Information

NPI Number
1861410557
Entity Type
Organization
Organization Name
Wal-Mart Stores East LP
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jul 1, 2025

Practice Location

Address
189 US HIGHWAY 46
ZIP Code
07663-6215
Phone
(201) 226-0466

Authorized Official

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

Specialties & Taxonomy Codes

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

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