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 1205147931

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Indian Land, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
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

10048 Charlotte Hwy
Indian Land, SC 29707-7135
Phone: (803) 802-1818
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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 11086 (SC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1205147931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4237
NPI enumeratedJune 28, 2010
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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