Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-2990
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1101 E SPRUCE ST, MITCHELL, SD 57301-4867
(605) 995-6845
Mailing address
702 SW 8TH STREET, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1001818
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094280
PK
—
05
—
8501750
—
SD
Enumeration date
07/16/2006
Last updated
09/19/2025
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