Wal-Mart Stores East LP

Practice location

Address

150 Sonoma Ranch Blvd, Las Cruces, NM 88011-1608

Phone

(575) 323-6097

Fax

(575) 323-6096

Mailing address

1 Customer Dr Mail Stop 0445, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (3)

Registry record

NPI

1144678343

Entity type

Organization

NPI issued

27 May 2016

Record last updated

15 Jun 2026

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.