Walmart INC.
Pharmacy, Community/Retail Pharmacy in Mount Vernon, WA. Organization (NPI-2).
NPI number1639196751
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1639196751
- Entity type
- Organization (NPI-2)
- Legal business name
- Walmart INC.
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Aug 28, 2023
- Last updated
- Sep 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHARCF60102610 | WA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-2596 (Doing Business As)
Practice location
2301 Freeway DrMount Vernon, WA 98273-5445
Phone 360-428-3911
Mailing address
702 Sw 8th StreetBentonville, AR 72716-0445
Phone 479-258-2115
Authorized official
Sarah Little
Director Of Healthcare Contracting
4792772500
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All 12 Community/Retail Pharmacy providers in Mount Vernon · All 1,851 providers in Mount Vernon
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