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 1215948732

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

1905 N Nova Rd
Daytona Beach, FL 32117-1421
Phone: (386) 672-8955
Fax: (479) 277-4331
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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 PH22245 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1215948732
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-3862; Walmart Pharmacy 10-3862
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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