Walmart Pharmacy 10-4588

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-4588 is an health care organization with primary practice located at 3101 W Princeton St , Orlando FL 32808-5600. The organization recently has 2 registered licenses in different health care specialties including 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 (407) 445-4047, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
3101 W Princeton St Orlando FL 32808-5600
Fax:
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH24491 Florida
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1558692046
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-4588
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2010
Last updated Aug 29th, 2023 - 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 1558692046 NPPES
Other 2123562 PK
MEDICAID 2119700 PK

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