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 1720506967

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Deland, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

955 S Woodland Blvd
Deland, FL 32720-7321
Phone: (386) 624-0679
Fax: (386) 624-0680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PH31103 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1720506967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-2944; Walmart Pharmacy 10-2944
NPI enumeratedSeptember 8, 2017
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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