Walmart Inc.

NPI #1730493834 in Hayden, Idaho

Provider Information

NPI Number
1730493834
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 30, 2010
Last Updated
Jul 1, 2025

Practice Location

Address
550 W HONEYSUCKLE AVE
City
Hayden
State
Idaho
ZIP Code
83835-6042
Phone
(208) 209-4081

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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