Wal-Mart Stores East LP

Practice location

Address

1025 Walton Dr, Fredericktown, MO 63645-7235

Phone

(573) 783-2663

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 (3)

Registry record

NPI

1134146491

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.