Walmart Inc.

NPI #1255764775 in Simi Valley, California

Provider Information

NPI Number
1255764775
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
2204 TAPO ST
ZIP Code
93063-3022
Phone
(805) 426-6817

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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