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Walmart INC.

Pharmacy, Community/Retail Pharmacy in Cerritos, CA. Organization (NPI-2).

NPI number1023035367
StatusActive
Last updated in NPPESJun 4, 2025

Details

NPI
1023035367
Entity type
Organization (NPI-2)
Legal business name
Walmart INC.
Organization subpart
No
Enumeration date
Jul 16, 2006
Certification date
Jun 4, 2025
Last updated
Jun 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY40303CAYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Walmart Pharmacy 10-2082 (Doing Business As)

Practice location

12701 Towne Center Dr
Cerritos, CA 90703-9348

Phone 562-924-0847 · Fax 562-924-2947

Mailing address

702 Sw 8th St
Bentonville, AR 72716-0445

Authorized official

Kimberly Canonic
Senior Director, Enrollment
4802776348

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Retail Pharmacy providers in Cerritos, CA

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