Walmart INC.
Pharmacy, Community/Retail Pharmacy in Flippin, AR. Organization (NPI-2).
NPI number1477570976
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1477570976
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | AR15465 | AR | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-1147 (Doing Business As)
Practice location
168 Walmart DrFlippin, AR 72634-8660
Phone 870-453-8831 · Fax 870-453-5962
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-1242
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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