Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Glen Ellyn, IL

NPI number 1104844612 Active

Practice location

3S100 Il Route 53
Glen Ellyn, IL 60137-7394

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X054011491 (IL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1104844612

Walmart Inc.'s National Provider Identifier is 1104844612, issued on Jul 17, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jun 16, 2025.