Walmart Inc.

NPI #1073530333 in Sparta, Illinois

Provider Information

NPI Number
1073530333
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 29, 2025

Practice Location

Address
1410 N MARKET ST
City
Sparta
ZIP Code
62286-2302
Phone
(618) 443-2436

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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