Walmart INC.
Pharmacy, Community/Retail Pharmacy in Garden Grove, CA. Organization (NPI-2).
NPI number1205269727
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1205269727
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Aug 20, 2013
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 51648 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-4171 (Doing Business As)
Practice location
11822 Gilbert StGarden Grove, CA 92841-2720
Phone 714-591-1307 · Fax 714-591-1301
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-204-8550 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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All 75 Community/Retail Pharmacy providers in Garden Grove · All 5,773 providers in Garden Grove
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