Wal-Mart Stores East LP

Practice location

Address

11110 Causeway Blvd, Brandon, FL 33511-2900

Phone

(813) 661-4816

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 (4)

Registry record

NPI

1124045513

Entity type

Organization

NPI issued

16 Jul 2006

Record last updated

30 May 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.