Walmart Inc.

NPI #1316146269 in Fairmont, Minnesota

Provider Information

NPI Number
1316146269
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 12, 2007
Last Updated
Jul 8, 2025

Practice Location

Address
1250 GOEMANN RD
ZIP Code
56031-4659
Phone
(507) 235-2517

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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