<Unavail>

LBN: Walmart Inc.
<Unavail> is an health care organization with primary practice located at 205 12Th St S , Sauk Centre MN 56378-1614. 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 (320) 352-7943, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
205 12Th St S Sauk Centre MN 56378-1614
Phone: (320) 352-7943
Fax:
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 263005 Minnesota

Profile Details

NPI number 1922122365
LBN Legal business name Walmart Inc.
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 9th, 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 1922122365 NPPES
Other 2049225 PK
MEDICAID 907630000 PK

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