Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-3145
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
2201 GRAND BLVD, VANCOUVER, WA 98661-4625
(360) 258-2017
(360) 258-2018
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60448416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035488
—
WA
01
—
2144339
PK
—
Enumeration date
02/10/2014
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