Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-4529
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
501 E LINCOLN HWY, NEW LENOX, IL 60451-1909
(815) 485-4219
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
054017553
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126723
PK
—
Enumeration date
09/10/2010
Last updated
09/19/2025
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