Walmart Inc.

NPI #1972520187 in Douglas, Arizona

Provider Information

NPI Number
1972520187
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 16, 2025

Practice Location

Address
199 W 5TH ST
State
Arizona
ZIP Code
85607-2853
Phone
(520) 364-1279

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 PharmacyCommunity/Retail Pharmacy

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