Walmart Inc.

LBN: Walmart Inc.
Walmart Inc. is an health care organization with primary practice located at 2109 W Main St , Russellville AR 72801-4636. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Walmart Inc. can be contacted via phone (479) 498-9540, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
2109 W Main St Russellville AR 72801-4636
Phone: (479) 498-9540
Fax: (479) 498-9543
Website:
Map and Directions
Authorized official contact:
Name: Little, Sarah
Phone: (479) 277-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20754 Arkansas

Profile Details

NPI number 1629481395
LBN Legal business name Walmart Inc.
DBA Doing business as
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2014
Last updated Aug 29th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629481395 NPPES
Other 2146634 PK
MEDICAID 204616407 PK

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