Wal-Mart Pharmacy
LBN: Wal-Mart Pharmacy Inc West
Wal-Mart Pharmacy is an health care organization with primary practice located at 930 Mount Prospect Plz , Mt Prospect IL 60056-2652. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wal-Mart Pharmacy Inc West can be contacted via phone (847) 590-0011, or through Painter, Dianna via phone (479) 277-1238.
Contact Information
Primary practice address
930 Mount Prospect Plz
Mt Prospect IL 60056-2652
Phone: (847) 590-0011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 54011097 | Illinois |
Profile Details
| NPI number | 1962429241 |
|---|---|
| LBN Legal business name | Wal-Mart Pharmacy Inc West |
| DBA Doing business as | Wal-Mart Pharmacy |
| Authorized official | Painter, Dianna |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Feb 2nd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962429241 | NPPES |
| Other | 1460889 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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