Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Little Egg Harbor Twp, NJ. Organization (NPI-2).
NPI number1487001038
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1487001038
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores East LP
- Organization subpart
- No
- Enumeration date
- May 24, 2016
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 28RS00749700 | NJ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-3830 (Doing Business As)
Practice location
631 Route 9 NLittle Egg Harbor Twp, NJ 08087-3517
Phone 609-296-6430 · Fax 609-296-6381
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-0445
Phone 479-277-1242 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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