Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-5990
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2111 N AMIDON AVE, WICHITA, KS 67203-2116
(316) 831-9567
(316) 361-3326
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10365
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100432830E
—
KS
01
—
2132101
PK
—
Enumeration date
09/23/2011
Last updated
09/19/2025
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