Walmart Inc.

NPI #1225433592 in Ogallala, Nebraska

Provider Information

NPI Number
1225433592
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 29, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
201 PONY EXPRESS LN
ZIP Code
69153-3101
Phone
(308) 284-0118

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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