Wal-Mart Pharmacy 10-3080

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-3080 is an health care organization with primary practice located at 182 Nc 102 W , Ayden NC 28513-8792. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (450) 435-7437, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
182 Nc 102 W Ayden NC 28513-8792
Fax:
Website:
Authorized official contact:
Name: Levine, Laura

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 11167 North Carolina

Profile Details

NPI number 1871878082
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-3080
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 19th, 2011
Last updated Aug 1st, 2013 - about 11 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 1871878082 NPPES
Other 2132398 PK
MEDICAID 0746078 PK

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