Organization
WALMART INC.
Active
Other names
Walmart Pharmacy 10-3654
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
808 W WALNUT ST, ROGERS, AR 72756-3538
(479) 202-7197
(479) 202-7196
Mailing address
702 SW 8TH ST, MAIL STOP 0445, BENTONVILLE, AR 72716-6209
(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
AR20812
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209489407
—
AR
01
—
2152341
PK
—
Enumeration date
05/06/2015
Last updated
09/19/2025
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