NPI 1366780090
Walmart INC.
Practice location
- Address
- 2109 Towne Center Dr, Bellevue, NE 68123-6404
- Phone
- (402) 686-2043
- Fax
- (402) 292-0060
- 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)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Pharmacy
Registry record
- NPI
- 1366780090
- Entity type
- Organization
- NPI issued
- 31 Jan 2013
- 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.