Organization
WAL-MART STORES EAST LP
Active
Other names
WALMART PHARMACY 10-3439
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
9360 NAVARRE PKWY, NAVARRE, FL 32566-2910
(850) 939-3717
(479) 277-4331
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
PH22445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031888400
—
FL
01
—
2008134
PK
—
Enumeration date
12/27/2006
Last updated
06/19/2025
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