Walmart Inc.
NPI #1700803178 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1700803178
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 4740 MALL DR
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55811-3939
- Phone
- (218) 727-4625
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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