Walmart Pharmacy 10-0227

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-0227 is an health care organization with primary practice located at 2400 S Country Club Rd , El Reno OK 73036-5801. 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 (405) 262-6112, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
2400 S Country Club Rd El Reno OK 73036-5801
Fax:
Website:
Authorized official contact:
Name: Mcmullin, Matthew

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 263853 Oklahoma

Profile Details

NPI number 1932126042
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-0227
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 1st, 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 1932126042 NPPES
Other 2073842 PK
MEDICAID 100237380A PK

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