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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-3144
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
15600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-3857
(503) 654-7650
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP0002800CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140631
PK
—
05
—
500660048
—
OR
Enumeration date
06/04/2013
Last updated
09/19/2025
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