Wal-Mart Stores East LP

Practice location

Address

4858 Highway 1, Raceland, LA 70394-2627

Phone

(985) 532-5527

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

1992723480

Entity type

Organization

NPI issued

17 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.