Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-0530
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
2730 N WEST AVE, EL DORADO, AR 71730-3124
(870) 862-4866
(870) 862-6036
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1258
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR19336
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129610407
—
AR
01
—
1988106
PK
—
Enumeration date
07/16/2006
Last updated
06/02/2025
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