Wal-Mart Pharmacy 10-3775

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-3775 is an health care organization with primary practice located at 1801 Howell Mill Rd Nw , Atlanta GA 30318-0911. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, 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) 352-5229, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
1801 Howell Mill Rd Nw Atlanta GA 30318-0911
Phone: (404) 352-5229
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 / Community/Retail Pharmacy 3336C0003X PHRE009080 Georgia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1619061777
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-3775
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 10th, 2021 - about 4 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 1619061777 NPPES
Other 2016330 PK
MEDICAID 000350204B PK

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