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Organization

WALMART INC.

Active
Other names
WALMART PHARMACY 10-1485
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization

Contact information

Practice address
2300 S DOUGLAS HWY, GILLETTE, WY 82718-5420
(307) 686-5166
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
52-02623
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105599200 CON
WY
05
105599200CON
WY
01
2111454
PK
Enumeration date
07/16/2006
Last updated
09/19/2025
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