Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1033595251

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Bossier City, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
Specialties on file
2
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Barksdale Blvd
Bossier City, LA 71112-3902
Phone: (423) 405-6162
Fax: (423) 405-6161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY.007198-RC (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1033595251
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5204
NPI enumeratedAugust 11, 2015
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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