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 1194613869

Wal-Mart Stores East, LP is a Durable Medical Equipment & Medical Supplies in Pace, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

4239 Berryhill Rd
Pace, FL 32571-8339
Phone: (850) 463-9461
Fax: (850) 463-9464
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1194613869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Director Of Health Care Contracting · (480) 277-6348
Other names Walmart Pharmacy 10-2467
NPI enumeratedJune 24, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address1 Customer Drive, Ms 0445, Bentonville, AR 72716-0445

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