Wal-Mart Pharmacy

LBN: Wal-Mart Puerto Rico Inc
Wal-Mart Pharmacy is an health care organization with primary practice located at Carr 194 Km 2 0 , Fajardo PR 00738. 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 Puerto Rico Inc can be contacted via phone (787) 863-7404, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
Carr 194 Km 2 0 Fajardo PR 00738
Fax:
Website:
Authorized official contact:
Name: Levine, Laura

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 07F2313 Puerto Rico

Profile Details

NPI number 1033132113
LBN Legal business name Wal-Mart Puerto Rico Inc
DBA Doing business as Wal-Mart Pharmacy
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 26th, 2006
Last updated Dec 14th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033132113 NPPES
Other 4024989 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 07F2313 NCPDP PROVIDER IDENTIFICATION NUMBER

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