Walmart Inc.

NPI #1386826014 in Kankakee, Illinois

Provider Information

NPI Number
1386826014
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 5, 2007
Last Updated
Jul 9, 2025

Practice Location

Address
505 RIVERSTONE PKWY
ZIP Code
60901-7207
Phone
(815) 802-3166

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 PharmacyCommunity/Retail Pharmacy

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