NPI 1609283688
Walmart Stores East LP
Practice location
- Address
- 1300 Dallas Cherryville Hwy, Dallas, NC 28034-8714
- Phone
- (704) 648-0914
- Fax
- (704) 648-9018
- 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 (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1609283688
- Entity type
- Organization
- NPI issued
- 22 Jul 2014
- 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.