Walmart Inc.

NPI #1952583692 in San Luis, Arizona

Provider Information

NPI Number
1952583692
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 5, 2007
Last Updated
Jul 9, 2025

Practice Location

Address
1613 NORTH MAIN STREET
State
Arizona
ZIP Code
85349
Phone
(928) 722-7288

Authorized Official

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

Specialties & Taxonomy Codes

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

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