NPI 1437176591

Wal-Mart Stores East LP

Organisation Community/Retail Pharmacy Farmington, NM

Practice location

Address: 1400 W Main St, Farmington, NM 87401-3836
Phone: (505) 327-2262
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 (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PH00002813 (NM)

Other Pharmacy providers in New Mexico →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in New Mexico →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1437176591
Entity type: Organization
NPI issued: 16 Jul 2006
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.