NPI 1356368641
Wal-Mart Stores East LP
Practice location
- Address
- 150 Gold Star Hwy, Groton, CT 06340-3442
- Phone
- (860) 449-6902
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-6209
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1356368641
- Entity type
- Organization
- NPI issued
- 16 Jul 2006
- Record last updated
- 2 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.