NPI 1053338343
Wal-Mart Stores East LP
Practice location
- Address
- 22899 Sussex Hwy, Seaford, DE 19973-5851
- Phone
- (302) 628-9824
- Mailing address
- 1 Customer Dr, 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
- 1053338343
- Entity type
- Organization
- NPI issued
- 16 Jul 2006
- Record last updated
- 31 Mar 2026
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.