NPI 1609117720
Wal-Mart Stores East LP
Practice location
- Address
- 935 State Highway 11 South, Sweetwater, TN 37874
- Phone
- (423) 337-3052
- Fax
- (423) 337-3054
- 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
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1609117720
- Entity type
- Organization
- NPI issued
- 14 Mar 2013
- Record last updated
- 6 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.