Organization · Type 2 NPI

Wal-Mart Stores East LP

Community/Retail Pharmacy · Lecanto, FL

NPI number 1407190036 Active

Practice location

1936 N Lecanto Hwy
Lecanto, FL 34461-9680

Call (352) 228-6003 Map

Fax (352) 228-6004

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PH26604 (FL)

Community/Retail Pharmacy: 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 …

3 other providers at this address

Other community/retail pharmacy providers in Lecanto

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NPI record

NPI: 1407190036
Entity type: Organization (Type 2)
Issued: Nov 20, 2012
Last updated: Jun 16, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-5772 · doing business as
Walmart Pharmacy 10-5772 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 853-0515

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407190036

Wal-Mart Stores East LP's National Provider Identifier is 1407190036, issued on Nov 20, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lecanto, FL. The record was last updated on Jun 16, 2025.