Wal-Mart Pharmacy 10-2821

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-2821 is an health care organization with primary practice located at 2410 Sheila Ln , Richmond VA 23225-2041. 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 (804) 320-0099, or through Mcmullin, Matt via phone (479) 371-8711.

Contact Information

Primary practice address
2410 Sheila Ln Richmond VA 23225-2041
Phone: (804) 320-0099
Fax: (804) 320-0099
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matt
Phone: (479) 371-8711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003677 Virginia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1376560482
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-2821
Authorized official Mcmullin, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 25th, 2024 - about 6 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 1376560482 NPPES
Virginia MEDICAID 8508097
Virginia MEDICAID 008508097
Virginia Other 2104695

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