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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-3050
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
9055 SW MURRAY BLVD, BEAVERTON, OR 97008-7434
(503) 207-2554
(503) 207-2548
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(503) 207-2554
(503) 207-2548
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002869-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038070
—
WA
01
—
2143477
PK
—
Enumeration date
12/13/2013
Last updated
09/19/2025
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