| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1316338148 | WAL-MART STORES EAST, LP | 702 SW 8TH ST | BENTONVILLE | AR | 727160445 | |||
| 1811388630 | WAL-MART STORES EAST LP | 702 SW 8TH ST | BENTONVILLE | AR | 727160445 | |||
| 1891395299 | SMIRAT | TIFFANY | 6245 SAMPSON CT | INDIANAPOLIS | IN | 462376007 |