Walmart Pharmacy 10-6998

LBN: Wal-Mart Stores East , Lp
Walmart Pharmacy 10-6998 is an health care organization with primary practice located at 844 Cleveland Ave , East Point GA 30344-2907. 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 (404) 460-6160, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
844 Cleveland Ave East Point GA 30344-2907
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 PHRE010074 Georgia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1518373927
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Walmart Pharmacy 10-6998
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2014
Last updated Jun 3rd, 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 1518373927 NPPES
Georgia MEDICAID 003151346A
Georgia Other 2147090

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