Walmart Inc.

NPI #1700803053 in Jerome, Idaho

Provider Information

NPI Number
1700803053
Entity Type
Organization
Organization Name
Walmart Inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Sep 19, 2025

Practice Location

Address
2680 S LINCOLN AVE
City
Jerome
State
Idaho
ZIP Code
83338-6128
Phone
(208) 324-4700

Authorized Official

Name
SARAH LITTLE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 277-2500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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