Walmart Inc.
NPI #1578580874 in Evergreen Park, Illinois
Provider Information
- NPI Number
- 1578580874
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 2500 W 95TH ST
- City
- Evergreen Park
- State
- Illinois
- ZIP Code
- 60805-2807
- Phone
- (708) 229-0892
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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