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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2418
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (SENIOR DIRECTOR, ENROLLMENT)
(479) 277-2500
Entity
Organization
Contact information
Practice address
4300 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6811
(530) 621-3447
(530) 621-3480
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997738
PK
—
05
—
463PHA462240
—
CA
Enumeration date
07/16/2006
Last updated
05/30/2025
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