Wal-Mart Stores East LP

Practice location

Address

3745 SW Lee Blvd, Lawton, OK 73505-8322

Phone

(580) 713-7703

Fax

(580) 713-7704

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 (2)

Registry record

NPI

1154725893

Entity type

Organization

NPI issued

9 Oct 2014

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.