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

Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1053476234

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Stillwater, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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

4545 W 6th Ave
Stillwater, OK 74074-1523
Phone: (405) 707-0756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 8-5133 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1053476234
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4241
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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