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 1780055301

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
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

2011 Ryan St
Lake Charles, LA 70601-7313
Phone: (337) 508-3867
Fax: (337) 508-3868
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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 PHY.007231-RC (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1780055301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-6583
NPI enumeratedOctober 8, 2015
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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