# WALMART INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WALMART PHARMACY 10-1543
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396762563
- **Authorized official:** SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
- **Authorized official phone:** (479) 277-2500

## Contact information

- **Practice address:** 2825 1ST AVE, SPEARFISH, SD 57783-3261
- **Practice address phone:** (605) 642-3025
- **Mailing address:** 702 SW 8TH STREET, BENTONVILLE, AR 72716-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 1001488 | SD | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1396762563 | — | MT |
| 01 | — | 2094195 | PK | — |
| 05 | — | 8503550 | — | SD |