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 1275913352

Wal-Mart Stores East , LP is a Durable Medical Equipment & Medical Supplies in Owasso, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2015.

Licensed in
OK
In the registry since
2015
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

11551 N 129th East Ave
Owasso, OK 74055-7446
Phone: (918) 371-3585
Fax: (918) 371-3733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2-7368 (OK)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1275913352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4585
NPI enumeratedJune 4, 2015
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address1 Customer Dr # Ms 0445, Bentonville, AR 72716-0445

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