Wal-mart Stores East Lp is an authorized DME supplier for medicare equipments and products.
Wal-mart Stores East Lp is a Pharmacy in Lavale, Maryland. It is located at 12500 Country Club Mall Rd, Lavale and it's customer support contact number is 301-729-5088. 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 P01793 for Pharmacy in Maryland. Wal-mart Stores East Lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Wal-mart Stores East Lp is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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:
Pharmacy
Location:
12500 Country Club Mall Rd, Lavale, Maryland, 21502-7553
Phone:
301-729-5088
Fax:
301-729-5253
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:
1114944493
NPI Enumeration Date:
16 Jul, 2006
NPI Last Update On:
06 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
Pharmacy
P01793
Maryland
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail 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
394310100
Medicaid
Maryland
2034812
Other
Pk
Medicare Enrollment:
Wal-mart Stores East Lp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6204749997
O20100930022565
Wal-mart Stores East Lp
DME SUPPLIER - PHARMACY
Products Available:
Wal-mart Stores East Lp has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Mail Order
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Enteral Nutrients
Ostomy Supplies
Prosthetic Lenses: Conventional Contact Lenses
Prosthetic Lenses: Conventional Eyeglasses
Surgical Dressings
Walkers
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:
479-277-9170
Fax Number:
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Patients can reach Wal-mart Stores East Lp at 12500 Country Club Mall Rd, Lavale, Maryland or can call on customer care at 301-729-5088.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.