Walmart Inc.

LBN: Walmart Inc.
Walmart Inc. is an health care organization with primary practice located at 622 W Ustick Rd , Caldwell ID 83605-6248. 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 (208) 453-2852, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
622 W Ustick Rd Caldwell ID 83605-6248
Fax: (208) 453-8985
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 42854RP Idaho

Profile Details

NPI number 1093163990
LBN Legal business name Walmart Inc.
DBA Doing business as
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2016
Last updated Feb 27th, 2018 - about 6 years ago

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 1093163990 NPPES
Other 2160484 PK
MEDICAID 1093163990 PK

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