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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5134
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
5075 GOSFORD RD, BAKERSFIELD, CA 93313-4993
(661) 282-2782
(661) 282-2144
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376874867
—
CA
01
—
2123563
PK
—
Enumeration date
01/22/2010
Last updated
09/19/2025
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