Wal-Mart Stores East LP

Practice location

Address

408 Tiny Town Rd, Clarksville, TN 37042-5642

Phone

(931) 771-0004

Fax

(931) 771-0007

Mailing address

702 SW 8th St Mailstop 0445, Bentonville, AR 72716-6209

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (2)

Registry record

NPI

1134501265

Entity type

Organization

NPI issued

25 Jun 2015

Record last updated

10 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.