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 1922456128

Wal-Mart Stores East LP is a Durable Medical Equipment & Medical Supplies in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
3
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

3811 Clyde Morris Blvd
Port Orange, FL 32129-2306
Phone: (386) 281-6889
Fax: (386) 281-6888
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 PH30245 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1922456128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Little — Director Of Healthcare Contracting · (479) 277-2500
Other names Walmart Pharmacy 10-3629; Walmart Pharmacy 10-3629
NPI enumeratedMay 27, 2016
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address702 Sw 8th St, Mailstop 0445, Bentonville, AR 72716-0445

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