Walmart Inc.

NPI #1710042833 in Shelbyville, Illinois

Provider Information

NPI Number
1710042833
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 27, 2006
Last Updated
Jul 9, 2025

Practice Location

Address
2607 W MAIN ST
ZIP Code
62565
Phone
(217) 774-1571

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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