Walmart Pharmacy 10-4057

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-4057 is an health care organization with primary practice located at 1600 E 7Th St , Joplin MO 64801-2071. 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 (417) 680-2025, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
1600 E 7Th St Joplin MO 64801-2071
Fax: (417) 680-2026
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2014011519 Missouri

Profile Details

NPI number 1871919720
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-4057
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2014
Last updated Feb 20th, 2017 - about 7 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 1871919720 NPPES
Missouri MEDICAID 1871919720
Missouri Other 2144791

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