Wal-Mart Stores East LP

Practice location

Address

450 Providence Rd, Brooklyn, CT 06234-1823

Phone

(860) 412-5144

Fax

(860) 412-5138

Mailing address

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

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (3)

Registry record

NPI

1558796086

Entity type

Organization

NPI issued

3 Sep 2013

Record last updated

16 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.