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 1760938013

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

4196 Bemiss Rd
Valdosta, GA 31605-7830
Phone: (229) 588-7577
Fax: (229) 588-7576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PHRE010319 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1760938013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-6732
NPI enumeratedAugust 28, 2016
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1 Customer Dr, Mailstop 0445, Bentonville, AR 72716-0445

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