Walmart Inc.

NPI #1093732125 in Vancouver, Washington

Provider Information

NPI Number
1093732125
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 13, 2025

Practice Location

Address
430 SE 192ND AVE
ZIP Code
98683-9531
Phone
(360) 256-6361

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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