Walmart INC.

Practice location

Address

400 Junction Dr, Glen Carbon, IL 62034-4323

Phone

(618) 659-1395

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

1598782880

Entity type

Organization

NPI issued

16 Jul 2006

Record last updated

29 May 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.