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 1548288079

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

Licensed in
MS
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

200 Marketplace Dr
Richland, MS 39218-4429
Phone: (601) 939-2958
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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 05061 (MS)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1548288079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Sr Director, Contracting · (479) 371-1168
Other names Wal-Mart Pharmacy 10-2939; Wal-Mart Pharmacy 10-2939
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address1 Customer Dr # Ms 0445, Bentonville, AR 72716-0445

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