Walmart Inc. is a health care provider in Bentonville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.
Basic Information| Practice Location | 10 W 2nd St, Pana, IL 62557-1302, US | ||
|---|---|---|---|
| Practice Location Phone | 217-562-7205 | ||
| Practice Location Fax | |||
| Legal Business Name | WALMART INC. | ||
| NPI ? | 1962429258 | ||
| Entity Type | Organization | ||
| Enumeration Date ? | Jul 16, 2006 | ||
| Last Update Date ? | Feb 28, 2018 | ||
| Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |||
Specialties & Licenses of Walmart Inc.| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | Suppliers | |||
| Pharmacy | Suppliers | |||
| Pharmacy | Suppliers | Community/Retail Pharmacy | 054013163 | Illinois |
Legacy Provider IDs of Walmart Inc.| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 2023486 | Other | PK | |
| =========460 | Illinois | Medicaid | |
Authorized Official of Walmart Inc.An authorized official is an appointed official with the legal authority to make changes and/or updates to the Walmart Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
| Authorized Official | Sarah Little |
|---|---|
| Authorized Official Title/Position | DIRECTOR OF HEALTHCARE CONTRACTING |
| Authorized Official Phone Number | 479-277-2500 |
