Walmart Inc.

NPI #1417352600 in Herriman, Utah

Provider Information

NPI Number
1417352600
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 30, 2014
Last Updated
Jun 6, 2025

Practice Location

Address
5056 W 13400 S
State
Utah
ZIP Code
84096-6600
Phone
(801) 981-1680

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 PharmacyCommunity/Retail Pharmacy

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