<Unavail>

LBN: Walmart Inc.
<Unavail> is an health care organization with primary practice located at 1421 Coffee Rd , Modesto CA 95355-3170. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walmart Inc. can be contacted via phone (209) 222-5616, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
1421 Coffee Rd Modesto CA 95355-3170
Phone: (209) 222-5616
Fax: (209) 222-5557
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51063 California

Profile Details

NPI number 1508121914
LBN Legal business name Walmart Inc.
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2012
Last updated Jun 6th, 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 1508121914 NPPES
Other 2136137 PK
MEDICAID 1508121914 PK

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