Walmart Inc.
NPI #1790702991 in South Ogden, Utah
Provider Information
- NPI Number
- 1790702991
- Entity Type
- Organization
- Organization Name
- Walmart Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 1710 E SKYLINE DR
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84405-5202
- Phone
- (801) 479-6893
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 Pharmacy — Community/Retail Pharmacy |
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| Costco Wholesale Corporation | |
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| Glades Hyland Pharmacies Part of Glades Hyland Pharmacies |
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