| NPI | 1619424298 |
|---|---|
| Doing Business As | WALMART PHARMACY 10-4156 |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CANONIC Senior Director, Enrollment 480-277-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: VT 038.0123545) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-06-05 |