Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-4490
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2565 E COMMERCE CENTER PL, TUCSON, AZ 85706-4535
(520) 837-0753
(520) 837-0752
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
Y006513
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094378
—
AZ
01
—
2153744
PK
—
Enumeration date
06/30/2015
Last updated
09/19/2025
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