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Walmart INC.

Pharmacy, Community/Retail Pharmacy in Anchorage, AK. Organization (NPI-2).

NPI number1245257559
StatusActive
Last updated in NPPESJun 5, 2025

Details

NPI
1245257559
Entity type
Organization (NPI-2)
Legal business name
Walmart INC.
Organization subpart
No
Enumeration date
Jul 16, 2006
Certification date
Jun 5, 2025
Last updated
Jun 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy254AKYes
332B00000X Durable Medical Equipment & Medical Supplies––
333600000X Pharmacy––

Other names

  • Walmart Pharmacy 10-2070 (Doing Business As)

Practice location

3101 A St
Anchorage, AK 99503-4050

Phone 907-563-6600 · Fax 907-563-6602

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.

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