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 1326366493

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Lake Wylie, 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

175 Highway 274
Lake Wylie, SC 29710-6045
Phone: (803) 619-7028
Fax: (803) 619-7022
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 11102 (SC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1326366493
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5745
NPI enumeratedMay 13, 2010
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address1 Customer Dr, Ms 0445, Bentonville, AR 72716-0445

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