NPI 1013335454
Walmart INC.
Practice location
- Address
- 175 N Middleton Rd, Nampa, ID 83651-7538
- Phone
- (208) 546-3396
- Fax
- (208) 546-3338
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1013335454
- Entity type
- Organization
- NPI issued
- 2 Apr 2014
- Record last updated
- 5 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.