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 1235156555

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
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

333 S Westwood Blvd
Poplar Bluff, MO 63901-5519
Phone: (573) 686-6539
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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 2002009473 (MO)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1235156555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew McMullin — Director, Contracting · (479) 371-8711
Other names Walmart Pharmacy 10-0019; Walmart Pharmacy 10-0019
NPI enumeratedJuly 16, 2006
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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