Walmart Inc.

NPI #1528085891 in Rantoul, Illinois

Provider Information

NPI Number
1528085891
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 4, 2025

Practice Location

Address
845 BROADMEADOW RD
ZIP Code
61866-2119
Phone
(217) 892-9171

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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