Walmart Pharmacy 10-3637

LBN: Wal-Mart Stores East , Lp
Walmart Pharmacy 10-3637 is an health care organization with primary practice located at 1001 E Main St , Yukon OK 73099-2137. 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 (405) 577-0051, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
1001 E Main St Yukon OK 73099-2137
Fax: (405) 577-0053
Website:
Authorized official contact:
Name: Mcmullin, Matthew

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26-6921 Oklahoma

Profile Details

NPI number 1952704751
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Walmart Pharmacy 10-3637
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2014
Last updated May 29th, 2024 - about 6 months 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 1952704751 NPPES
Other 2149141 PK
MEDICAID 100242350 C PK

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