Walmart Inc.
NPI #1790702108 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1790702108
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 19, 2025
Practice Location
- Address
- 5501 S OLIVE ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-7607
- Phone
- (870) 879-1420
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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