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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-3178
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2444 E POWELL BLVD, GRESHAM, OR 97080-1311
(503) 492-5267
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
(479) 204-0709
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002756-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138198
PK
—
05
—
500654898
—
OR
Enumeration date
11/19/2012
Last updated
09/19/2025
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