Walmart Pharmacy 10-5135

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-5135 is an health care organization with primary practice located at 102 Gateway Crossing Blvd , Radcliff KY 40160-9204. 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 / Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (270) 351-3625, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
102 Gateway Crossing Blvd Radcliff KY 40160-9204
Phone: (270) 351-3625
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Little, Sarah
Phone: (479) 277-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X P07721 Kentucky
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194197533
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-5135
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2015
Last updated Feb 15th, 2017 - about 8 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 1194197533 NPPES
Other 2155373 PK
MEDICAID 7100399060 PK

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