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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-5859
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
401 N CENTRAL AVE, WASCO, CA 93280-1300
(661) 772-8059
(661) 772-8058
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790168649
—
CA
01
—
2154018
PK
—
Enumeration date
07/09/2015
Last updated
09/19/2025
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