Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores East LP

Organization Community/Retail Pharmacy · NPI 1861637902

Wal-Mart Stores East LP is a Community/Retail Pharmacy in Greenacres, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

3911 S Jog Rd
Greenacres, FL 33467-1590
Phone: (561) 964-6467
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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 PH23764 (FL)

Record details

NPI number1861637902
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Walmart Pharmacy 10-5758
NPI enumeratedDecember 3, 2008
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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