Walmart Inc.
NPI #1053723841 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1053723841
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 28, 2014
- Last Updated
- Jun 5, 2025
Practice Location
- Address
- 1707 W STATE RD
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-5045
- Phone
- (801) 216-0003
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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