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

Wal-Mart Stores East LP

Organization Durable Medical Equipment & Medical Supplies · NPI 1922163138

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in College Park, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

6149 Old National Hwy
College Park, GA 30349-4479
Phone: (770) 994-0199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009106 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1922163138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Wal-Mart Pharmacy 10-3401
NPI enumeratedDecember 27, 2006
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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