Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Newport News, VA. Organization (NPI-2).
NPI number1386988715
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1386988715
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- Nov 26, 2012
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 0201004499 | VA | Yes |
Other names
- Wal-Mart Pharmacy 10-3157 (Doing Business As)
Practice location
11214 Jefferson AveNewport News, VA 23601-2207
Phone 757-327-7478
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-204-0709 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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