Active NPIOrganization

Wal-Mart Stores East LP

Pharmacy, Community/Retail Pharmacy in Tewksbury, Massachusetts

NPI Number1093732398
Practice location
333 Main St, Tewksbury, MA 01876-1727
Fax
—
Last updated
June 5, 2025

Wal-Mart Stores East LP is a healthcare organization based in Tewksbury, MA. Wal-Mart Stores East LP practices in Tewksbury, MA. The NPI Number for Wal-Mart Stores East LP is 1093732398 and holds a License No. CS2740 (MA). The current practice location address for Wal-Mart Stores East LP is 333 Main St, Tewksbury, MA 01876-1727 and can be reached out via phone at 978-851-7047.

Provider Profile Details

NPI Number
1093732398
Provider Name
Wal-Mart Stores East LP
Provider Entity Type
Organization
Address
333 Main St, Tewksbury, MA 01876-1727
Phone Number
978-851-7047
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Kimberly Canonic · Senior Director, Enrollment · 480-277-6348
Other Names
Wal-Mart Pharmacy 10-2222 (Doing Business As)
Provider Enumeration Date
July 16, 2006
Last Update Date
June 5, 2025
Certification Date
June 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
333 Main St
Tewksbury, MA 01876-1727
Zip
01876-1727
Phone Number
978-851-7047
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
702 SW 8TH St
Bentonville, AR 72716-0445
City
Bentonville
State
AR
Zip
72716-0445

License Information

Taxonomy (2)
Pharmacy · 333600000X
License Number (3)
CS2740
License State (3)
MA
Taxonomy (3)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1093732398. It was assigned on July 16, 2006 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, Community/Retail Pharmacy (code 3336C0003X), licensed in MA under license number CS2740.

Where does Wal-Mart Stores East LP practice?

The practice location is 333 Main St, Tewksbury, MA 01876-1727. The office can be reached at 978-851-7047 (phone).

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 1093732398 directly on the NPPES registry website.

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