Wal-Mart Pharmacy 10-1259

LBN: Wal-Mart Stores East , Lp
Wal-Mart Pharmacy 10-1259 is an health care organization with primary practice located at 60 S Stewart Rd , Corbin KY 40701-4675. 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 Stores East , Lp can be contacted via phone (606) 523-2206, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
60 S Stewart Rd Corbin KY 40701-4675
Phone: (606) 523-2206
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matthew
Phone: (479) 371-8711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PO2129 Kentucky

Profile Details

NPI number 1093732315
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Wal-Mart Pharmacy 10-1259
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 6th, 2024 - about last year

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 1093732315 NPPES
Other 2031436 PK
MEDICAID 5400729900 PK
MEDICAID 5402363500 PK

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