Walmart Inc.

NPI #1194158618 in Andover, Minnesota

Provider Information

NPI Number
1194158618
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 20, 2013
Last Updated
Jun 6, 2025

Practice Location

Address
1851 BUNKER LAKE BLVD NW
ZIP Code
55304-4010
Phone
(763) 354-5720

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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