Walmart INC

NPI #1710489406 in Warrenton, Oregon

Provider Information

NPI Number
1710489406
Entity Type
Organization
Organization Name
Walmart INC
Primary Specialty
Pharmacy
Enumeration Date
Mar 8, 2018
Last Updated
Jun 12, 2025

Practice Location

Address
1791 ENSIGN LANE SE
State
Oregon
ZIP Code
97146-7339
Phone
(503) 861-0644

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
Pharmacy

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