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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-5602
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
20226 AVALON BLVD, CARSON, CA 90746-3829
(424) 233-3319
(424) 233-3320
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 273-4885
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659796936
—
CA
01
—
2144444
PK
—
Enumeration date
02/24/2014
Last updated
09/19/2025
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