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Organization

WALMART INC.

Active
Other names
WalMart Pharmacy 10-3178
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization

Contact information

Practice address
2444 E POWELL BLVD, GRESHAM, OR 97080-1311
(503) 492-5267
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
(479) 204-0709
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002756-CS
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2138198
PK
05
500654898
OR
Enumeration date
11/19/2012
Last updated
09/19/2025
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