NPI
Wal-Mart Stores East LP
Doing business as Wal-Mart Pharmacy 10-3720. NPI 1104026616
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-07-23
- Last updated
- 2025-07-08
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Specialties
Licenses
- License MD
- P04660
Location
- Practice location
- 3601 Washington Blvd
- City
- Arbutus MD
- Postal code
- 21227-1627
- Phone
- (410) 737-7712
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Arbutus, MD. 35 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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