Wal-Mart Stores East LP

Practice location

Address

115 E Church St, Leesville, SC 29070-7595

Phone

(803) 532-5226

Mailing address

702 SW 8th St Mail Stop 0445, Bentonville, AR 72716-0445

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 277-6348

Registered specialties (2)

Registry record

NPI

1548488281

Entity type

Organization

NPI issued

20 Apr 2007

Record last updated

11 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.