Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1558380568

Wal-Mart Stores Inc is a Durable Medical Equipment & Medical Supplies in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone: (541) 267-5311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 0000745CS (OR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1558380568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dianna Painter — Pharmacy Enrollment Specialist · (479) 277-1238
Other names Wal-Mart Pharmacy 10-2301
NPI enumeratedJuly 19, 2006
Last updated in NPPESDecember 24, 2008
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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