Walmart Pharmacy 10-0651

LBN: Wal-Mart Stores Texas Llc
Walmart Pharmacy 10-0651 is an health care organization with primary practice located at 4145 Dowlen Rd , Beaumont TX 77706-6852. 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 Texas Llc can be contacted via phone (409) 899-3615, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
4145 Dowlen Rd Beaumont TX 77706-6852
Phone: (409) 899-3615
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 21833 Texas

Profile Details

NPI number 1740207976
LBN Legal business name Wal-Mart Stores Texas Llc
DBA Doing business as Walmart Pharmacy 10-0651
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Feb 15th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740207976 NPPES
Other 2103422 PK
MEDICAID 469730 PK

Popular Providers