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 1609893775

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

Licensed in
WI
In the registry since
2006
Specialties on file
4
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

1415 Lawrence Dr
De Pere, WI 54115-3927
Phone: (920) 336-7168
Fax: (920) 336-7586
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 8315-42 (WI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1609893775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Little — Director Of Healthcare Contracting · (479) 277-2500
Other names Walmart Pharmacy 10-5090; Walmart Pharmacy 10-5090
NPI enumeratedJuly 16, 2006
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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