Wal-Mart Pharmacy 10-1887

LBN: Wal-Mart Stores East , Lp
Wal-Mart Pharmacy 10-1887 is an health care organization with primary practice located at 1015 N Loyalsock Ave , Montoursville PA 17754-1065. 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 (570) 368-5454, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
1015 N Loyalsock Ave Montoursville PA 17754-1065
Phone: (570) 368-5454
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matthew
Phone: (479) 371-8711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP414692L Pennsylvania

Profile Details

NPI number 1952328015
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Wal-Mart Pharmacy 10-1887
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated May 22nd, 2024 - 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 1952328015 NPPES
Pennsylvania MEDICAID 1007455310019
Pennsylvania Other 2081372

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