Whalio Doctors

NPI 1053339754

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Espanola, NM

Practice location

Address
1610 N Riverside Dr, Espanola, NM 87532-8063
Phone
(505) 747-0427
Mailing address
702 SW 8th St, Bentonville, AR 72716-0445

Authorised official

Name
Sarah Little
Title
Director of Healthcare Contracting
Phone
(479) 277-2500

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PH00001965 (NM)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1053339754
Entity type
Organization
NPI issued
18 Jul 2006
Record last updated
29 Aug 2023

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.