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 1720112832

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

1850 SW Gatlin Blvd
Port St Lucie, FL 34953-2703
Phone: (772) 336-8268
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 PH22560 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1720112832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4260
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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