NPI 1104238039
Walmart INC.
Practice location
- Address
- 5200 W 60th St N, Sioux Falls, SD 57107-6419
- Phone
- (605) 906-6080
- 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
- 1104238039
- Entity type
- Organization
- NPI issued
- 27 May 2014
- Record last updated
- 9 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.