Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-3019
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
850 E 88TH AVE, THORNTON, CO 80229-4999
(303) 287-4466
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
PDO1680000005
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135543
PK
—
05
—
49700545
—
CO
Enumeration date
06/05/2012
Last updated
09/19/2025
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