NPI 1053592626
Walmart INC.
Practice location
- Address
- 15431 W Greenway Rd, Surprise, AZ 85374-4364
- Phone
- (623) 584-0189
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director Enrollment
- Phone
- (479) 371-1168
Registered specialties (2)
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1053592626
- Entity type
- Organization
- NPI issued
- 23 Nov 2007
- Record last updated
- 9 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.