Walmart Inc.

NPI #1356652077 in Cornelius, Oregon

Provider Information

NPI Number
1356652077
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 28, 2010
Last Updated
Jul 9, 2025

Practice Location

Address
220 N ADAIR ST
State
Oregon
ZIP Code
97113-8404
Phone
(503) 207-0635

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR ENROLLMENT
Phone
(479) 371-1168

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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