Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-4491
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
541 WARRIOR WAY, GRAND JUNCTION, CO 81504-6401
(970) 208-0041
(970) 208-0020
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO.1680000101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154016
PK
—
05
—
22700056
—
CO
Enumeration date
06/30/2015
Last updated
09/19/2025
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