Organization
WALMART INC
Active
Other names
Walmart Pharmacy 10-5140
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIR HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
5500 GROSSMONT CENTER DR, LA MESA, CA 91942-3016
(619) 315-0002
(619) 315-0003
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 258-2115
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
08/30/2023
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