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 1790966307

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

9131 College Pkwy
Fort Myers, FL 33919-5818
Phone: (239) 267-2032
Fax: (479) 277-4331
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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 PH23128 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1790966307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5321
NPI enumeratedNovember 26, 2007
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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