Wal-Mart Stores East LP

Practice location

Address

4150 Goodman Rd, Horn Lake, MS 38637-0300

Phone

(662) 253-6181

Mailing address

702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (3)

Registry record

NPI

1104297753

Entity type

Organization

NPI issued

8 Oct 2015

Record last updated

9 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.