Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-3049
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
2550 S KOLB RD, TUCSON, AZ 85710-8427
(520) 329-6472
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-0709
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
Y005573
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139311
PK
—
05
—
801192
—
AZ
Enumeration date
03/04/2013
Last updated
06/05/2025
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