Walmart Pharmacy 10-4267

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-4267 is an health care organization with primary practice located at 15726 Se Highway 19 , Cross City FL 32628-3568. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (352) 498-6034, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
15726 Se Highway 19 Cross City FL 32628-3568
Phone: (352) 498-6034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH29084 Florida

Profile Details

NPI number 1174916084
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-4267
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2015
Last updated Jul 30th, 2015 - about 9 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 1174916084 NPPES
Florida MEDICAID 014865600
Florida MEDICAID 014865601 DME
Florida Other 2150862

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