Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-3177
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
4625 S MASON ST, FORT COLLINS, CO 80525-3740
(970) 372-3481
(970) 372-3480
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8741
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.1680000026
CO
Other
Enumeration date
02/27/2013
Last updated
09/19/2025
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