Wal-Mart Pharmacy 10-0208
LBN: Wal-Mart Stores Inc
Wal-Mart Pharmacy 10-0208 is an health care organization with primary practice located at 2970 Military Ave , Baxter Springs KS 66713-2331. 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 Inc can be contacted via phone (620) 856-5196, or through Levine, Laura via phone (479) 204-8550.
Contact Information
Primary practice address
2970 Military Ave
Baxter Springs KS 66713-2331
Phone: (620) 856-5196
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 209550 | Kansas |
Profile Details
| NPI number | 1912924325 |
|---|---|
| LBN Legal business name | Wal-Mart Stores Inc |
| DBA Doing business as | Wal-Mart Pharmacy 10-0208 |
| Authorized official | Levine, Laura |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 10th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912924325 | NPPES |
| Other | 2025972 | PK | |
| MEDICAID | 100433160B | PK | |
| MEDICAID | 6010831836 | PK |
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