Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-4689
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
4689 W CEDAR HILLS DR, CEDAR HILLS, UT 84062-8093
(801) 756-5067
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7218631-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104063635
—
UT
01
—
2118803
PK
—
Enumeration date
01/21/2009
Last updated
09/19/2025
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