Walmart Inc.
NPI #1255358503 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1255358503
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 500 S UTAH AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3305
- Phone
- (208) 528-8703
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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