Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2074
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
1350 S SEWARD MERIDIAN PKWY, WASILLA, AK 99654-8332
(907) 376-9783
(907) 376-9785
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
342
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996858
PK
—
05
—
PH0252
—
AK
Enumeration date
07/16/2006
Last updated
06/05/2025
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