Wal-Mart Stores East LP
Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Jefferson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- LP — Limited partnership
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1520 S Main StJefferson, WI 53549-2940
Phone: (920) 674-2873
Fax: (920) 674-2899
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 8843042 (WI) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1376700153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515 |
| Other names | Wal-Mart Pharmacy 10-3499 |
| NPI enumerated | May 20, 2008 |
| Last updated in NPPES | June 19, 2025 |
| Certification date | June 19, 2025 |
| Mailing address | 702 Sw 8th St, Bentonville, AR 72716-6209 |