NPI 1386003689
Wal-Mart Stores East LP
Practice location
- Address
- 351 Alabama Rd, Adel, GA 31620-3818
- Phone
- (229) 896-9997
- Fax
- (229) 896-9991
- Mailing address
- 702 SW 8th St Mailstop 0445, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Registered specialties (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1386003689
- Entity type
- Organization
- NPI issued
- 15 Feb 2016
- 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.