Organization
WAL-MART STORES EAST LP
Active
Other names
WalMart Pharmacy 10-5448
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
160 BROADWAY, RAYNHAM, MA 02767-1414
(508) 692-6751
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110099367A
—
MA
01
—
2144017
PK
—
Enumeration date
12/02/2013
Last updated
06/18/2025
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