Walmart Inc.

NPI #1114129392 in Yelm, Washington

Provider Information

NPI Number
1114129392
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 1, 2007
Last Updated
Jul 7, 2025

Practice Location

Address
17100 STATE ROUTE 507 SE
City
Yelm
ZIP Code
98597-7605
Phone
(360) 400-8062

Authorized Official

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

Specialties & Taxonomy Codes

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

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