Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2882
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MCMULLIN (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 371-8711
Entity
Organization
Contact information
Practice address
9451 DUNKIRK LN N, MAPLE GROVE, MN 55311-5447
(763) 416-2300
(763) 416-2302
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
261984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2048187
PK
—
05
—
584185200
—
MN
Enumeration date
07/16/2006
Last updated
09/26/2024
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