Walmart Inc.

NPI #1730628728 in Fort Mohave, Arizona

Provider Information

NPI Number
1730628728
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 23, 2017
Last Updated
Jul 9, 2025

Practice Location

Address
5210 S HIGHWAY 95
State
Arizona
ZIP Code
86426-9223
Phone
(928) 768-9022

Authorized Official

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

Specialties & Taxonomy Codes

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

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