Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2893
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
121 PETER PAN RD, INDEPENDENCE, KS 67301-7307
(620) 331-9068
(620) 331-9812
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-09449
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432840A
—
KS
01
—
2026885
PK
—
05
—
6010831851
—
KS
Enumeration date
07/16/2006
Last updated
09/19/2025
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