Walmart Inc.

NPI #1124045406 in Mattoon, Illinois

Provider Information

NPI Number
1124045406
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 2, 2025

Practice Location

Address
101 DETTRO DR
ZIP Code
61938-9044
Phone
(217) 258-6313

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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