Walmart INC.

Practice location

Address

622 W Ustick Rd, Caldwell, ID 83605-6248

Phone

(208) 453-2852

Fax

(208) 453-8985

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 (3)

Registry record

NPI

1093163990

Entity type

Organization

NPI issued

1 Jun 2016

Record last updated

10 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.