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 1083817829

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Breaux Bridge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
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

1932 Rees St
Breaux Bridge, LA 70517-4212
Phone: (337) 332-1100
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 5849RC (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1083817829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-0402
NPI enumeratedJune 8, 2007
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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