Walmart Inc.
NPI #1417190315 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1417190315
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 8, 2009
- Last Updated
- Jul 8, 2025
Practice Location
- Address
- 252 CHENEY DR W
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3721
- Phone
- (208) 736-3387
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 |
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