Walmart Pharmacy 10-0693

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-0693 is an health care organization with primary practice located at 1589 Kentucky Highway 15 S , Jackson KY 41339-8604. 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 (606) 666-2622, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
1589 Kentucky Highway 15 S Jackson KY 41339-8604
Phone: (606) 666-2622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Little, Sarah
Phone: (479) 277-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PO2412 Kentucky

Profile Details

NPI number 1972521441
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-0693
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 24th, 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 1972521441 NPPES
Other 2031742 PK
MEDICAID 5402749500 PK
MEDICAID 9008251 PK
MEDICAID 5400655600 PK

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