NPI 1205144904
Wal-Mart Stores East LP
Practice location
- Address
- 350 Whitesburg Plaza, Whitesburg, KY 41858
- Phone
- (606) 633-3120
- Fax
- (606) 633-3370
- 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 (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1205144904
- Entity type
- Organization
- NPI issued
- 16 Sep 2010
- Record last updated
- 2 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.