Walmart Inc.

NPI #1720005077 in Hilo, Hawaii

Provider Information

NPI Number: 1720005077
Entity Type: Organization
Organization Name: Walmart Inc.
Primary Specialty: Pharmacy - Community/Retail Pharmacy
Enumeration Date: Jul 16, 2006
Last Updated: May 29, 2025

Practice Location

Address: 325 E MAKAALA ST
City: Hilo
State: Hawaii
ZIP Code: 96720-5144
Phone: (808) 969-1062

Authorized Official

Name: KIMBERLY CANONIC
Title: SENIOR DIRECTOR, ENROLLMENT
Phone: (480) 277-6348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X	Primary

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