NPI 1013467505
Wal-Mart Stores East LP
Practice location
- Address
- 3120 McKamey Rd, Knoxville, TN 37921-4982
- Phone
- (865) 340-4507
- Fax
- (865) 340-4508
- Mailing address
- 702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1013467505
- Entity type
- Organization
- NPI issued
- 7 Oct 2016
- Record last updated
- 12 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.