- Practice location
- 73 Fellowship, Mt Laurel, NJ 08054
- Phone
- 856-372-6135
- Fax
- 856-372-6131
- Last updated
- June 12, 2025
Wal-Mart Stores East LP is a healthcare organization based in Mt Laurel, NJ. Wal-Mart Stores East LP practices in Mt Laurel, NJ. The NPI Number for Wal-Mart Stores East LP is 1003323387 and holds a License No. 28RS00764100 (NJ). The current practice location address for Wal-Mart Stores East LP is 73 Fellowship, Mt Laurel, NJ 08054 and can be reached out via phone at 856-372-6135 and via fax at 856-372-6131.
Provider Profile Details
- NPI Number
- 1003323387
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 73 Fellowship, Mt Laurel, NJ 08054
- Phone Number
- 856-372-6135
- Fax Number
- 856-372-6131
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-853-0515
- Provider Enumeration Date
- January 8, 2018
- Last Update Date
- June 12, 2025
- Certification Date
- June 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 73 Fellowship
Mt Laurel, NJ 08054 - City
- Mt Laurel
- State
- New Jersey
- Zip
- 08054
- Phone Number
- 856-372-6135
- Fax Number
- 856-372-6131
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
- Phone Number
- 479-277-1242
- Fax Number
- 479-277-4331
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (3)
- 28RS00764100
- License State (3)
- NJ
- Taxonomy (3)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wal-Mart Stores East LP?
The NPI number of Wal-Mart Stores East LP is 1003323387. It was assigned on January 8, 2018 and is currently active in the NPPES registry.
What is the specialty of Wal-Mart Stores East LP?
Wal-Mart Stores East LP is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00764100.
Where does Wal-Mart Stores East LP practice?
The practice location is 73 Fellowship, Mt Laurel, NJ 08054. The office can be reached at 856-372-6135 (phone) or 856-372-6131 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003323387 directly on the NPPES registry website.