Walmart Inc.

NPI #1043238892 in Riverdale, Utah

Provider Information

NPI Number
1043238892
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jun 19, 2025

Practice Location

Address
4848 S 900 W
State
Utah
ZIP Code
84405-3726
Phone
(801) 627-0069

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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