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Organization

WALMART INC.

Active
Other names
WalMart Pharmacy 10-5078
Organization subpart
No

Provider details

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

Contact information

Practice address
6600 W NOB HILL BLVD, YAKIMA, WA 98908-1976
(509) 966-3814
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716
(479) 277-1238
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
CF.60116882
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2121918
PK
05
6032528
WA
Enumeration date
08/25/2009
Last updated
09/19/2025
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