Wal-Mart Stores East, LP

Practice location

Address

3031 Mid Rivers Mall Dr, Saint Peters, MO 63376-3426

Phone

(636) 697-1051

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 (2)

Registry record

NPI

1073985404

Entity type

Organization

NPI issued

26 Oct 2015

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.