Wal-Mart Stores East LP

Practice location

Address

1125 N Pine St, Deridder, LA 70634-2819

Phone

(337) 462-5794

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 (3)

Registry record

NPI

1982621223

Entity type

Organization

NPI issued

16 Jul 2006

Record last updated

3 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.