Walmart Inc.

NPI #1619313129 in Derby, Kansas

Provider Information

NPI Number
1619313129
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 13, 2013
Last Updated
Jun 5, 2025

Practice Location

Address
1106 S ROCK RD
City
Derby
State
Kansas
ZIP Code
67037-3989
Phone
(316) 542-7919

Authorized Official

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

Specialties & Taxonomy Codes

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

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