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 1558547984

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Granite Falls, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
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.

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Practice location Address checks out

4780 Hickory Blvd
Granite Falls, NC 28630-8237
Phone: (828) 396-3685
Fax: (828) 396-7282
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 10021 (NC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1558547984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4410
NPI enumeratedJanuary 16, 2008
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address1 Customer Dr, Mail Stop 0445, Bentonville, AR 72716-0445

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