Walmart INC
NPI #1255865853 in Collinsville, Illinois
Provider Information
- NPI Number
- 1255865853
- Entity Type
- Organization
- Organization Name
- Walmart INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Apr 20, 2017
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 1101 BELT LINE RD
- City
- Collinsville
- State
- Illinois
- ZIP Code
- 62234-4368
- Phone
- (618) 381-7556
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 Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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