Walmart Pharmacy 10-0469

LBN: Wal-Mart Stores East , Lp
Walmart Pharmacy 10-0469 is an health care organization with primary practice located at 3415 Us 14 , Lake Charles LA 70607. 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 (337) 474-3503, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
3415 Us 14 Lake Charles LA 70607
Fax:
Website:
Authorized official contact:
Name: Mcmullin, Matthew

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 4816RC Louisiana

Profile Details

NPI number 1164440673
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Walmart Pharmacy 10-0469
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164440673 NPPES
Louisiana MEDICAID 1270067
Louisiana Other 2033707

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