Walmart Pharmacy 10-3864

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-3864 is an health care organization with primary practice located at 561 Yopp Rd , Jacksonville NC 28540-3591. 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 / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (910) 346-5121, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
561 Yopp Rd Jacksonville NC 28540-3591
Phone: (910) 346-5121
Fax: (910) 346-5752
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
Suppliers / Community/Retail Pharmacy 3336C0003X 09946 North Carolina

Profile Details

NPI number 1578742037
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-3864
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2007
Last updated Jul 19th, 2018 - about 6 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 1578742037 NPPES
North Carolina MEDICAID 1578742037
North Carolina MEDICAID 1578742037 DME
North Carolina Other 2066634

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