Walmart INC.

Practice location

Address

616 N Garland Ave STE 363 Suite 363, Fayetteville, AR 72701-3116

Phone

(479) 443-1658

Fax

(479) 443-8038

Mailing address

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

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (3)

Registry record

NPI

1174824395

Entity type

Organization

NPI issued

4 Nov 2010

Record last updated

5 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.