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Wal-Mart Stores East Lp — NPI 1831116144, Halifax, MA | NPI Central

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NPI 1831116144

OrganizationActive

Wal-Mart Stores East Lp

NPI 1831116144 · Community/Retail Pharmacy · Halifax, MA

Provider details

NPI number: 1831116144
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Organization subpart: No
Authorized official: Kimberly Canonic, Senior Director, Enrollment(480) 277-6348

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense DS89686 (MA)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

295 Plymouth St

Halifax, MA 02338-1340

Phone: (781) 294-7001

Approximate (ZIP-level) locationGet directions

More MA providers

Mailing address

702 Sw 8th St

Bentonville, AR 72716-0445

Other names (DBA / former)

Doing business as: Wal-Mart Pharmacy 10-2128

Registry dates

Enumerated: 2006-07-16
Last updated: 2025-06-03
Certified: 2025-06-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.