Walmart Inc.

NPI #1215061031 in North Las Vegas, Nevada

Provider Information

NPI Number
1215061031
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 15, 2007
Last Updated
Jul 8, 2025

Practice Location

Address
3950 W LAKE MEAD BLVD
State
Nevada
ZIP Code
89032-4895
Phone
(702) 631-6806

Authorized Official

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

Specialties & Taxonomy Codes

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

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