Wal-mart Stores East Lp is not a DME supplier for medicare equipments and products.
Wal-mart Stores East Lp is a Pharmacy in Deland, Florida. It is located at 955 S Woodland Blvd, Deland and it's customer support contact number is 386-624-0679. 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 PH31103 for Pharmacy in Florida. 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:
955 S Woodland Blvd, Deland, Florida, 32720-0000
Phone:
386-624-0679
Fax:
386-624-0680
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:
1720506967
NPI Enumeration Date:
08 Sep, 2017
NPI Last Update On:
09 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
PH31103
Florida
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
2172763
Other
Pk
023541600
Medicaid
Florida
023541601 DME
Medicaid
Florida
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:
479-277-2500
Fax Number:
479-277-4331
Patients can reach Wal-mart Stores East Lp at 955 S Woodland Blvd, Deland, Florida or can call on customer care at 386-624-0679.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Deland, Florida
Northeast Florida Health Services, Inc. Speciality:Community/Retail Pharmacy Address: 1205 S Woodland Blvd Ste 5, Deland, FL Phone: 386-202-6025 Fax: 386-269-1847Walgreen Co Address: 300 E New York Ave, Deland, FL Phone: 386-943-4011 Fax: 386-943-4259Shivoam Llc Address: 319 S Woodland Blvd, Deland, FL Phone: 386-734-3383 Fax: 386-734-3384Holiday Cvs Llc Speciality:Community/Retail Pharmacy Address: 901 N Woodland Blvd, Deland, FL Phone: 386-734-5822 Fax: 386-738-2783Paradigm Medical Services Inc Speciality:Non-Pharmacy Dispensing Site Address: 650 W Plymouth Ave, Deland, FL Phone: 386-873-4771 Orange Belt Pharmacy Inc. Address: 112 E New York Ave, Deland, FL Phone: 386-734-1685 Fax: 386-736-2600