Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-5841
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
5001 N TEN MILE RD, MERIDIAN, ID 83646-6515
(208) 982-3047
(208) 982-3048
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
37426RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720484140
—
ID
01
—
2148915
PK
—
Enumeration date
11/12/2014
Last updated
09/19/2025
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