NPI 1407874175
Wal-Mart Stores East LP
Practice location
- Address
- 3393 N 81 Hwy, Duncan, OK 73533-8925
- Phone
- (580) 252-4888
- 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 (3)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1407874175
- Entity type
- Organization
- NPI issued
- 18 Jul 2006
- Record last updated
- 5 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.