Walmart Inc.

NPI #1811196074 in Eagle Point, Oregon

Provider Information

NPI Number
1811196074
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 17, 2007
Last Updated
Jun 16, 2025

Practice Location

Address
11500 HANNON RD
State
Oregon
ZIP Code
97524-9598
Phone
(541) 826-2670

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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