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 1093991424

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in White House, Tennessee. Licensed in Tennessee. Registered with an NPI since 2008.

Licensed in
TN
In the registry since
2008
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

222 Wilkinson Ln
White House, TN 37188-9111
Phone: (615) 672-2881
Fax: (615) 672-4813
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 4488 (TN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1093991424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4483
NPI enumeratedJanuary 16, 2008
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address702 Sw 8th St, Ms 0445, Bentonville, AR 72716-0445

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