Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1588063911

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Statesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
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

349 Brampton Ave
Statesboro, GA 30458-0832
Phone: (912) 489-4643
Fax: (479) 277-4331
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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 PHRE010095 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1588063911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-2858
NPI enumeratedAugust 21, 2014
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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