Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wal-Mart Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1114217676

Wal-Mart Stores Inc is a Durable Medical Equipment & Medical Supplies in Prairie Grove, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

881 W Buchanan St
Prairie Grove, AR 72753-2880
Phone: (905) 873-3021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence AR20650 (AR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1114217676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Levine — Mgr Of Government Contracting · (479) 204-8550
Other names Wal-Mart Pharmacy
NPI enumeratedApril 18, 2011
Last updated in NPPESDecember 22, 2015
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209