Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-1725
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 277-6348
Entity
Organization
Contact information
Practice address
9399 N SPRING RUN PKWY, EAGLE MOUNTAIN, UT 84005
(385) 993-6009
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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