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 1629095997

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

Licensed in
MD
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

407 George Clauss Blvd
Severn, MD 21144-1317
Phone: (410) 969-1228
Fax: (410) 582-9455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence P01713 (MD)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1629095997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-1875
NPI enumeratedJuly 16, 2006
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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