Walmart INC.
Pharmacy, Community/Retail Pharmacy in Rogers, AR. Organization (NPI-2).
NPI number1285653261
StatusActive
Last updated in NPPESJun 19, 2025
Details
- NPI
- 1285653261
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Certification date
- Jun 19, 2025
- Last updated
- Jun 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | AR20313 | AR | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-3479 (Doing Business As)
Practice location
1819 S 8th StRogers, AR 72756-5912
Phone 479-633-0802 · Fax 479-633-0807
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-204-1258
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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