Walmart Inc.

NPI #1417374794 in Pea Ridge, Arkansas

Provider Information

NPI Number
1417374794
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 25, 2014
Last Updated
Jun 10, 2025

Practice Location

Address
240 SLACK ST
ZIP Code
72751-3759
Phone
(479) 451-9008

Authorized Official

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

Specialties & Taxonomy Codes

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

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