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

Wal-Mart Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1760765606

Wal-Mart Stores Inc is a Durable Medical Equipment & Medical Supplies in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

3636 N Broadway St
Chicago, IL 60613-4568
Phone: (773) 525-0962
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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 054017753 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1760765606
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Laura Levine — Mgr Of Government Contracting · (479) 204-8550
Other names Wal-Mart Pharmacy
NPI enumeratedSeptember 27, 2011
Last updated in NPPESJuly 25, 2014
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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