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 1801226063

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
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

29176 Van Dyke Ave
Warren, MI 48093-6764
Phone: (586) 467-0265
Fax: (586) 558-4732
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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 5301010286 (MI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1801226063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4424
NPI enumeratedNovember 25, 2013
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address702 Sw 8th St, Mail Stop 0445, Bentonville, AR 72716-0445

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