Walmart Inc.

NPI #1194063008 in Omaha, Nebraska

Provider Information

NPI Number
1194063008
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 28, 2013
Last Updated
Jun 5, 2025

Practice Location

Address
13105 BIRCH DR
City
Omaha
ZIP Code
68164-5222
Phone
(402) 686-2058

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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