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Segment Reporting - Reconciliation from Operating Income to Adjusted Operating Income (Details)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
store
Jun. 30, 2020
USD ($)
Jun. 30, 2019
USD ($)
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]        
Operating income (GAAP measure) $ 4,680 $ 3,332 $ 8,138 $ 6,022
Amortization of intangible assets 578 593 1,164 1,215
Acquisition-related integration costs 70 106 139 254
Store rationalization charges 0 0 0 135
Adjusted operating income (loss) $ 5,328 $ 4,031 $ 9,441 $ 7,626
Retail/ LTC        
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]        
Number of under performing stores | store   46