Walmart INC.
Pharmacy, Community/Retail Pharmacy in Watseka, IL. Organization (NPI-2).
NPI number1104843473
StatusActive
Last updated in NPPESSep 2, 2023
Details
- NPI
- 1104843473
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Sep 2, 2023
- Last updated
- Sep 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054010024 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Practice location
1790 E Walnut StWatseka, IL 60970-1828
Phone 815-432-2208
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in Watseka, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.