Walmart Inc.

NPI #1578818209 in Hesperia, California

Provider Information

NPI Number
1578818209
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2012
Last Updated
Jul 9, 2025

Practice Location

Address
13401 MAIN ST
ZIP Code
92345-9123
Phone
(760) 244-7035

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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