Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Covina, CA

NPI number 1750308003 Active

Practice location

1275 N Azusa Ave
Covina, CA 91722-1246

Call (626) 339-6912 Map

Fax (626) 339-6203

Mailing address

1 Customer Dr, Ms 0445
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY43288 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

11 other providers at this address

Other community/retail pharmacy providers in Covina

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NPI record

NPI: 1750308003
Entity type: Organization (Type 2)
Issued: Jul 16, 2006
Last updated: Sep 29, 2025
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-2292 · doing business as
Walmart Pharmacy 10-2292 · doing business as

Authorized official

Kimberly Canonic
Sr. Director
(479) 371-1168

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1750308003

Walmart Inc.'s National Provider Identifier is 1750308003, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Covina, CA. The record was last updated on Sep 29, 2025.