Walmart Inc.

NPI #1992860019 in Woodstock, Illinois

Provider Information

NPI Number
1992860019
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 27, 2006
Last Updated
Jun 19, 2025

Practice Location

Address
1275 LAKE AVE
ZIP Code
60098-7415
Phone
(815) 206-0938

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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