NPI 1043554504
Walmart INC.
Practice location
- Address
- 300 21st Ave N, Princeton, MN 55371-6271
- Phone
- (763) 389-1148
- 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
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1043554504
- Entity type
- Organization
- NPI issued
- 21 Nov 2012
- Record last updated
- 6 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.