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

Walmart Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1194158618

Walmart Inc is a Durable Medical Equipment & Medical Supplies in Andover, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
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

1851 Bunker Lake Blvd NW
Andover, MN 55304-4010
Phone: (763) 354-5720
Fax: (763) 354-5714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 264238 (MN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1194158618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-1999
NPI enumeratedAugust 20, 2013
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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