Organization
WALMART INC.
Active
Other names
WalMart Pharmacy 10-4568
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1882 HOLLY ST, BLAIR, NE 68008-6309
(402) 533-8288
(402) 533-8281
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
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2926
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262712-00
—
NE
01
—
2133349
PK
—
Enumeration date
01/03/2012
Last updated
09/19/2025
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