Walmart Inc.

NPI #1649335076 in Nebraska City, Nebraska

Provider Information

NPI Number
1649335076
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 26, 2006
Last Updated
Jul 9, 2025

Practice Location

Address
2101 S 11TH ST
ZIP Code
68410-3481
Phone
(402) 874-9093

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 PharmacyCommunity/Retail Pharmacy

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