Walmart Inc.

NPI #1164449369 in West Valley City, Utah

Provider Information

NPI Number
1164449369
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jul 1, 2025

Practice Location

Address
3180 S 5600 W
State
Utah
ZIP Code
84120-1300
Phone
(801) 966-4492

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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