Wal-Mart Pharmacy 10-1209

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-1209 is an health care organization with primary practice located at 306 N Generals Blvd , Lincolnton NC 28092-3557. 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 (704) 732-3095, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
306 N Generals Blvd Lincolnton NC 28092-3557
Phone: (704) 732-3095
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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7984 North Carolina

Profile Details

NPI number 1831116086
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-1209
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 28th, 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 1831116086 NPPES
Other 2069783 PK
MEDICAID 0555201 PK
MEDICAID 7704033 PK
MEDICAID 555201 PK

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