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 1205101169

Wal-Mart Stores East , LP is a Durable Medical Equipment & Medical Supplies in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
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

3150 W Republic Rd
Springfield, MO 65807-5420
Phone: (417) 520-3149
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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 2012013717 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1205101169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew McMullin — Director · (479) 371-8711
Other names Walmart Pharmacy 10-5692; Walmart Pharmacy 10-5692
NPI enumeratedMarch 12, 2012
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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