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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5994
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
19133 WILLAMETTE DR, WEST LINN, OR 97068-2019
(503) 303-1099
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002707-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134332
PK
—
05
—
500647957
—
OR
Enumeration date
03/09/2012
Last updated
09/19/2025
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