NPI 1003024357
Wal-Mart Stores East LP
Practice location
- Address
- 3159 Route 9 S, Rio Grande, NJ 08242-1012
- Phone
- (609) 465-4497
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1003024357
- Entity type
- Organization
- NPI issued
- 18 May 2007
- Record last updated
- 19 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.