Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-4639
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2100 LEGACY CIR, ELIZABETH, CO 80107-8331
(303) 646-2289
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
773
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120758
PK
—
05
—
64100286
—
CO
Enumeration date
06/18/2009
Last updated
09/19/2025
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