Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-4678
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
180 N 3400 W, HURRICANE, UT 84737-3031
(435) 635-2014
(435) 635-4686
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
7218823-1703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508004888
—
UT
01
—
2118802
PK
—
Enumeration date
01/26/2009
Last updated
09/19/2025
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