Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-2632
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
115 E DUNLAP AVE, PHOENIX, AZ 85020-2841
(480) 754-8045
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005847
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145307
PK
—
05
—
907105
—
AZ
Enumeration date
04/16/2014
Last updated
06/06/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us