Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5625
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1200 SHINGLE CREEK XING, BROOKLYN CENTER, MN 55430-2835
(763) 354-1948
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263947
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136102
PK
—
Enumeration date
07/18/2012
Last updated
09/19/2025
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