Organization

Walmart Inc.

May also be knows as Walmart Pharmacy 10-2308

Community/Retail Pharmacy in Lihue, HI(View on Map)

Legal Business Name

Walmart Inc.

Also Known As

Walmart Pharmacy 10-2308

NPI Number

1902823255

NPI Type

Organization

Enumeration Date

07/16/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X
333600000X

Primary Taxonomy

Yes
No
No

Licenses

State

Hawaii

License Number

PHY550

Contact
Information

Purpose

Mailing
Location

Address

702 SW 8TH ST
3-3300 KUHIO HWY

City

Bentonville
Lihue

State

AR
HI

Postal Code

72716-0445
96766-1009

Country

US
US

Telephone Number

N/A
(808) 246-1822

Authorized Official

Name

Sarah Little

Title or Position

DIRECTOR OF HEALTHCARE CONTRACTING

Telephone Number

(479) 277-2500

Identifiers

Identifier

07515101
2018758
202242

Identifier State

HI
Unknown
HI

Identifier Issuer

Unknown
PK
Unknown

Health Information Exchange

Endpoint Type

CONNECT

Endpoint

https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

Endpoint Description

2.16.840.1.113883.3.667.2

Use

Other

Content Type

Unknown

Affiliation

Y

Endpoint Location

Ability Network100 N 6th St Ste 900AMinneapolis, MN554031516US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/28/2023

Provider Address

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