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 1740503051

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2010.

Licensed in
MA
In the registry since
2010
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

25 Tobias Boland Way
Worcester, MA 01607-2103
Phone: (774) 314-3162
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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 DS89724 (MA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1740503051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-4387
NPI enumeratedMarch 2, 2010
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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