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 1700335312

Wal-Mart Stores East, LP is a Durable Medical Equipment & Medical Supplies in Port St Lucie, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

3045 SW Port St Lucie Blvd
Port St Lucie, FL 34953-0000
Phone: (772) 301-6124
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1700335312
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores, Inc
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5704
NPI enumeratedSeptember 23, 2016
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address702 Sw 8th St, Mailstop 0445, Bentonville, AR 72716-0445

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