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
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 PharmacyCommunity/Retail Pharmacy

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