Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2552
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
4200 SE 82ND AVE, PORTLAND, OR 97266-2943
(503) 788-0400
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0001571CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078744
PK
—
05
—
276376
—
OR
Enumeration date
07/16/2006
Last updated
09/19/2025
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