Walmart Inc.

NPI #1689051385 in Cheyenne, Wyoming

Provider Information

NPI Number
1689051385
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 1, 2015
Last Updated
Jun 18, 2025

Practice Location

Address
580 LIVINGSTON AVE
State
Wyoming
ZIP Code
82007-1966
Phone
(307) 823-6812

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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