NPI 1114361011
Wal-Mart Stores East LP
Practice location
- Address
- 3560 Davis Dr, Morrisville, NC 27560-8819
- Phone
- (919) 337-9872
- Fax
- (919) 337-9862
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1114361011
- Entity type
- Organization
- NPI issued
- 22 Apr 2013
- Record last updated
- 6 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.