Wal-Mart Stores East LP

Practice location

Address

2114 S Main St, Wake Forest, NC 27587-8817

Phone

(919) 562-9519

Mailing address

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

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (4)

Registry record

NPI

1134146301

Entity type

Organization

NPI issued

16 Jul 2006

Record last updated

2 Jul 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.