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Organization

WALMART INC.

Active
Other names
Walmart Pharmacy 10-6975
Organization subpart
No

Provider details

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

Contact information

Practice address
1203 S PINE ST, CABOT, AR 72023-3809
(501) 725-3639
(501) 725-3638
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(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
AR20774
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206914407
AR
01
2147971
PK
Enumeration date
09/10/2014
Last updated
09/19/2025
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