Wal-Mart Stores East, LP

Practice location

Address

1220 Hwy 466, Lady Lake, FL 32159-4227

Phone

(352) 561-7744

Mailing address

1 Customer Dr, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Director of Health Care Contracting

Phone

(480) 853-0515

Registered specialties (3)

Registry record

NPI

1275486367

Entity type

Organization

NPI issued

18 Feb 2026

Record last updated

18 Mar 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.