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NPI 1053789065

OrganizationActive

Walmart

NPI 1053789065 · Public Health or Welfare Agency · Little Rock, AR

Provider details

NPI number: 1053789065
Entity type: Organization
Primary specialty: Public Health or Welfare AgencyAgencies
Authorized official: Hiedi Mason, Pharmacist
License: PD12269 (AR)

Practice location

2510 Cantrell Rd

Little Rock, AR 72202-2116

Phone: (501) 707-3607

More AR providers

Mailing address

12580 Southridge Dr

Little Rock, AR 72212-1625

Registry dates

Enumerated: 2015-09-08
Last updated: 2015-09-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Walmart — NPI 1053789065, Little Rock, AR | NPI Central