Wal-mart Stores East Lp is an authorized DME supplier for medicare equipments and products.
Wal-mart Stores East Lp is a Community/Retail Pharmacy in Daytona Beach, Florida. It is located at 1905 N Nova Rd, Daytona Beach and it's customer support contact number is 386-672-8955. 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 480-853-0515. Active license number of Wal-mart Stores East Lp is PH22245 for Community/Retail Pharmacy in Florida. 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 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:
1905 N Nova Rd, Daytona Beach, Florida, 32117-1421
Phone:
386-672-8955
Fax:
479-277-4331
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:
480-853-0515
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:
1215948732
NPI Enumeration Date:
10 Aug, 2006
NPI Last Update On:
08 Jul, 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
PH22245
Florida
Primary
Durable Medical Equipment & Medical Supplies
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
2007006
Other
Pk
031721700
Medicaid
Florida
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
O20100930060540
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:
--
Fax Number:
--
Patients can reach Wal-mart Stores East Lp at 1905 N Nova Rd, Daytona Beach, Florida or can call on customer care at 386-672-8955.
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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