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 1790085496

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

Licensed in
NC
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

8000 Town Dr
Raleigh, NC 27616-2828
Phone: (919) 431-9632
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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 10888 (NC)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1790085496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4484
NPI enumeratedOctober 27, 2010
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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