Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-5853
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3715 OCEAN BEACH HWY, LONGVIEW, WA 98632-4801
(360) 425-2843
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.CF60247490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225318082
—
WA
01
—
2131673
PK
—
Enumeration date
08/25/2011
Last updated
09/19/2025
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