NPI 1669490173
Wal-Mart Stores East LP
Practice location
- Address
- 379 South St, Calais, ME 04619-1129
- Phone
- (207) 454-8326
- Fax
- (479) 277-4331
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
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
- 1669490173
- Entity type
- Organization
- NPI issued
- 17 Jul 2006
- Record last updated
- 3 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.