Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2492
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2203 SW COURT PL, PENDLETON, OR 97801-1896
(541) 966-9971
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0001506CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136825
—
OR
01
—
2078494
PK
—
Enumeration date
07/16/2006
Last updated
09/19/2025
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