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Organization
WALMART INC.
Active
Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5601
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
21132 BEACH BLVD, HUNTINGTON BEACH, CA 92648-5404
(714) 274-4499
(714) 274-4485
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135488
PK
—
Enumeration date
05/31/2012
Last updated
09/19/2025
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