Wal-mart Stores East Lp is not a DME supplier for medicare equipments and products.
Wal-mart Stores East Lp is a Community/Retail Pharmacy in Princeton, Indiana. It is located at 4924 S Maple Tree Dr, Princeton and it's customer support contact number is 812-385-0757. The authorized person of Wal-mart Stores East Lp is Kimberly Canonic who is Senior Director, Enrollment of the pharmacy and his contact number is 480-277-6348. Active license number of Wal-mart Stores East Lp is 60006362A for Community/Retail Pharmacy in Indiana. Wal-mart Stores East Lp is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Wal-mart Stores East Lp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Wal-mart Stores East Lp
Type:
Community/Retail Pharmacy
Location:
4924 S Maple Tree Dr, Princeton, Indiana, 47670-9278
Phone:
812-385-0757
Fax:
812-385-0759
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kimberly Canonic
Position:
Senior Director, Enrollment
Contact Number:
480-277-6348
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1053747071
NPI Enumeration Date:
23 Sep, 2013
NPI Last Update On:
10 Jun, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wal-mart Stores East Lp are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
60006362A
Indiana
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Institutional Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2142896
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
702 Sw 8th St, Bentonville, Arkansas
Zip:
72716-0445
Phone Number:
479-204-0709
Fax Number:
479-277-4331
Patients can reach Wal-mart Stores East Lp at 4924 S Maple Tree Dr, Princeton, Indiana or can call on customer care at 812-385-0757.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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