NPI 1285810614
Wal-Mart Stores East LP
Practice location
- Address
- 1010 N 8th St, Medford, WI 54451-1278
- Phone
- (715) 748-9000
- Fax
- (715) 748-9022
- 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)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1285810614
- Entity type
- Organization
- NPI issued
- 16 Jan 2008
- Record last updated
- 2 Jul 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.