Wal-Mart Pharmacy 10-5131
LBN: Wal-Mart Stores East , Lp
Wal-Mart Pharmacy 10-5131 is an health care organization with primary practice located at 3461 Horizon Blvd , Trevose PA 19053-4967. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wal-Mart Stores East , Lp can be contacted via phone (215) 942-7483, or through Mcmullin, Matthew via phone (479) 371-8711.
Contact Information
Primary practice address
3461 Horizon Blvd
Trevose PA 19053-4967
Phone: (215) 942-7483
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PP481530 | Pennsylvania |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1053339853 |
|---|---|
| LBN Legal business name | Wal-Mart Stores East , Lp |
| DBA Doing business as | Wal-Mart Pharmacy 10-5131 |
| Authorized official | Mcmullin, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | May 22nd, 2024 - about 4 months 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 | 1053339853 | NPPES |
| Pennsylvania | MEDICAID | 1007455310242 | |
| Pennsylvania | Other | 2087492 | |
| Pennsylvania | MEDICAID | PP481530 |
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