Wal-Mart Stores East LP
Pharmacy, Community/Retail Pharmacy in Raynham, Massachusetts
1336570381- Practice location
- 160 Broadway, Raynham, MA 02767-1414
- Phone
- 508-692-6751
- Fax
- —
- Last updated
- June 18, 2025
Wal-Mart Stores East LP is a healthcare organization based in Raynham, MA. Wal-Mart Stores East LP practices in Raynham, MA. The NPI Number for Wal-Mart Stores East LP is 1336570381 and holds a License No. DS89911 (MA). The current practice location address for Wal-Mart Stores East LP is 160 Broadway, Raynham, MA 02767-1414 and can be reached out via phone at 508-692-6751.
Provider Profile Details
- NPI Number
- 1336570381
- Provider Name
- Wal-Mart Stores East LP
- Provider Entity Type
- Organization
- Address
- 160 Broadway, Raynham, MA 02767-1414
- Phone Number
- 508-692-6751
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Kimberly Canonic · Senior Director, Enrollment · 480-853-0515
- Other Names
- Walmart Pharmacy 10-5448 (Doing Business As)
- Provider Enumeration Date
- December 2, 2013
- Last Update Date
- June 18, 2025
- Certification Date
- June 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Broadway
Raynham, MA 02767-1414 - City
- Raynham
- State
- Massachusetts
- Zip
- 02767-1414
- Phone Number
- 508-692-6751
Provider Business Mailing Address Details
- Address
- 702 SW 8TH St
Bentonville, AR 72716-0445 - City
- Bentonville
- State
- AR
- Zip
- 72716-0445
- Phone Number
- 479-277-2500
- Fax Number
- 479-277-4331
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- DS89911
- License State (2)
- MA
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · 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 1336570381. It was assigned on December 2, 2013 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 DS89911.
Where does Wal-Mart Stores East LP practice?
The practice location is 160 Broadway, Raynham, MA 02767-1414. The office can be reached at 508-692-6751 (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 1336570381 directly on the NPPES registry website.