Walmart Inc.

NPI #1982621249 in Benton, Illinois

Provider Information

NPI Number
1982621249
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
919 GIACONE DR
City
Benton
ZIP Code
62812-1639
Phone
(618) 435-2119

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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