Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-2448
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
9300 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-4030
(651) 846-2834
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
(479) 273-4885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
264340
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143606
PK
—
Enumeration date
11/14/2013
Last updated
09/19/2025
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