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 1659675817

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Locust Grove, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
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

4949 Bill Gardner Pkwy
Locust Grove, GA 30248-2910
Phone: (678) 734-3492
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 PHRE009728 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1659675817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5709
NPI enumeratedJanuary 3, 2011
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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