Organization · Type 2 NPI

Walmart Inc.

Community/Retail Pharmacy · Mountain Home, ID

NPI number 1891712147 Active

Practice location

2745 American Legion Blvd
Mountain Home, ID 83647-3185

Call (208) 587-0861 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X1526RP (ID)

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 …

6 other providers at this address

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About NPI 1891712147

Walmart Inc.'s National Provider Identifier is 1891712147, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mountain Home, ID. The record was last updated on Sep 19, 2025.