Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5883
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
5025 E SPRAGUE AVE, SPOKANE VALLEY, WA 99212-0814
(509) 795-3601
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60312909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073862249
—
WA
01
—
2136762
PK
—
Enumeration date
09/04/2012
Last updated
09/19/2025
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