Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2476
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
1700 SE MEADOWBROOK BLVD, COLLEGE PLACE, WA 99324-1798
(509) 525-3626
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
(479) 258-2115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00056850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146377
—
WA
01
—
2110908
PK
—
05
—
6024228
—
WA
Enumeration date
07/16/2006
Last updated
05/29/2025
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