<Unavail>

LBN: Walmart Inc.
<Unavail> is an health care organization with primary practice located at 2375 North 99 W , Mcminnville OR 97128. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walmart Inc. can be contacted via phone (503) 434-6854, or through Canonic, Kimberly via phone (480) 853-0515.

Contact Information

Primary practice address
2375 North 99 W Mcminnville OR 97128
Phone: (503) 434-6854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 853-0515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0001263-CS Oregon

Profile Details

NPI number 1114945805
LBN Legal business name Walmart Inc.
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 16th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114945805 NPPES
Other 2078274 PK
MEDICAID 050240 PK
MEDICAID 50240 PK

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