# WALMART

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861860470
- **Authorized official:** AMANDA KERR PHARMD (PHARMACIST)
- **Authorized official phone:** (708) 926-4743

## Contact information

- **Practice address:** 505 RIVERSTONE PKWY, KANKAKEE, IL 60901-7207
- **Practice address phone:** (708) 926-4743
- **Mailing address:** 505 RIVERSTONE PKWY, KANKAKEE, IL 60901-7207
- **Mailing address phone:** (708) 926-4743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 051.298761 | IL | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015