Walmart INC.
Pharmacy, Community/Retail Pharmacy in Clovis, CA. Organization (NPI-2).
NPI number1386982015
StatusActive
Last updated in NPPESJun 13, 2025
Details
- NPI
- 1386982015
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jan 31, 2013
- Certification date
- Jun 13, 2025
- Last updated
- Jun 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 51224 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-5337 (Doing Business As)
Practice location
1185 Herndon AveClovis, CA 93612-0409
Phone 559-321-0284 · Fax 559-321-0068
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-258-2115 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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