NPI
Walmart Inc.
Doing business as Walmart Pharmacy 10-1175. Phone (928) 773-1013 · NPI 1174540389
Read from the NPPES registry on October 25, 2026.
Walmart Pharmacy 10-1175 pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-07-16
- Last updated
- 2025-06-05
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Specialties
Licenses
- License AZ
- 2018
Location
- Practice location
- 2750 S Woodlands Village Blvd
- City
- Flagstaff AZ
- Postal code
- 86001-7128
- Phone
- (928) 773-1013
Organization contact
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Pharmacy, Community/Retail Pharmacy providers in Flagstaff, AZ. 16 with this primary taxonomy in the public file.
Other NPIs in Flagstaff, AZ. 3,111 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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