Organization
WALMART INC.
Active
Other names
WALMART PHARMACY 10-1929
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
1308 HIGHWAY 33 S, CLOQUET, MN 55720-2653
(218) 878-0676
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
260979
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120062300
—
MN
01
—
2046939
PK
—
Enumeration date
07/16/2006
Last updated
09/19/2025
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