Wal-Mart Stores East LP

Practice location

Address

3001 Oak Grove Rd, Poplar Bluff, MO 63901-8942

Phone

(573) 772-7169

Fax

(573) 772-7166

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

1184027211

Entity type

Organization

NPI issued

3 Oct 2014

Record last updated

9 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.