NPI

Wal-Mart Stores East LP

Doing business as Wal-Mart Pharmacy 10-2371. Phone (203) 269-6633 · NPI 1174540462

Read from the NPPES registry on October 24, 2026.

Wal-Mart Pharmacy 10-2371 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.

Facts

Status
Active
Type
Organization
Enumeration date
2006-07-16
Last updated
2025-05-30

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Specialties

Licenses

License CT
PCY.0001569

Location

Practice location
844 N Colony Rd
City
Wallingford CT
Postal code
06492-2410
Phone
(203) 269-6633

Organization contact

Name
Kimberly Canonic
Title
Senior Director, Enrollment
Phone
(480) 277-6348

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.

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Nearby

Pharmacy, Community/Retail Pharmacy providers in Wallingford, CT. 6 with this primary taxonomy in the public file.

Other NPIs in Wallingford, CT. 1,149 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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