Organization
WALMART INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
4000 HWY 93 SOUTH, MISSOULA, MT 59804-7347
(406) 251-6066
(406) 251-2975
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
805
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214812
—
MT
01
—
2051858
PK
—
05
—
214812
—
MT
Enumeration date
07/17/2006
Last updated
06/03/2025
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