Wal-Mart Stores East LP

Practice location

Address

300 Pleasant Grove Rd STE 600, Mount Juliet, TN 37122-3792

Phone

(615) 758-1511

Fax

(615) 773-5249

Mailing address

702 SW 8th St, Bentonville, AR 72716-6209

Authorised official

Name

Kimberly Canonic

Title

Senior Director, Enrollment

Phone

(480) 853-0515

Registered specialties (2)

Registry record

NPI

1841423860

Entity type

Organization

NPI issued

25 Aug 2009

Record last updated

14 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.