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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5604
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
14441 INGLEWOOD AVE, HAWTHORNE, CA 90250-6715
(424) 336-2215
(424) 336-2216
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140390
PK
—
Enumeration date
05/15/2013
Last updated
09/19/2025
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