Organization
WALMART INC.
Active
Other names
WAL-MART PHARMACY 10-5332
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
730 E MCKELLIPS RD, MESA, AZ 85203-2537
(480) 964-9427
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
Y003917
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991717
PK
—
05
—
842220
—
AZ
Enumeration date
07/16/2006
Last updated
06/13/2025
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