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 1104120369

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Fallston, Maryland. Licensed in Maryland. Registered with an NPI since 2011.

Licensed in
MD
In the registry since
2011
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

303 Fallston Blvd
Fallston, MD 21047-2540
Phone: (410) 877-7573
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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 P05446 (MD)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1104120369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Wal-Mart Pharmacy 10-3780
NPI enumeratedJanuary 3, 2011
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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