NPI 1043237209
Wal-Mart Stores East LP
Practice location
- Address
- 4101 W Vernon Ave, Kinston, NC 28504-9672
- Phone
- (252) 527-8400
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 853-0515
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1043237209
- Entity type
- Organization
- NPI issued
- 16 Jul 2006
- Record last updated
- 9 Jul 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.