Organization · NPI-2
Walmart INC.
Pharmacy, Community/Retail Pharmacy · Olympia Fields, IL
NPI number1205289246
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1205289246
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jul 14, 2016
- Certification date
- Aug 23, 2023
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 054.19967 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-4049 (Doing Business As)
Practice location
21000 Western AveOlympia Fields, IL 60461-1935
Phone 708-898-9114 · Fax 708-898-9113
Mailing address
702 Sw 8th StMailstop 0445
Bentonville, AR 72716-0445
Phone 479-204-8550 · Fax 479-277-4331
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
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