Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wal-Mart Stores East, LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1235041054

Wal-Mart Stores East, LP provides Durable Medical Equipment & Medical Supplies in Davenport, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

41176 Hwy 27
Davenport, FL 33837-1005
Phone: (479) 277-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1235041054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Director Of Health Care Contracting · (480) 853-0515
Other names Walmart Pharmacy 10-2779
NPI enumeratedSeptember 17, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 16, 2026
Mailing address1 Customer Dr # Ms 0445, Bentonville, AR 72716-0445

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