Wallys Pharmacy Inc

LBN: Wallys Pharmacy Inc
Wallys Pharmacy Inc is an health care organization with primary practice located at 933 Old Rockford St , Mount Airy NC 27030-5356. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wallys Pharmacy Inc can be contacted via phone (336) 789-9089, or through Hamilton, Thomas L via phone (336) 799-9089.

Contact Information

Primary practice address
933 Old Rockford St Mount Airy NC 27030-5356
Phone: (336) 789-9089
Fax: (336) 789-1161
Website:
Map and Directions
Authorized official contact:
Name: Hamilton, Thomas L
Phone: (336) 799-9089

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5393 North Carolina

Profile Details

NPI number 1285789024
LBN Legal business name Wallys Pharmacy Inc
DBA Doing business as
Authorized official Hamilton, Thomas L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 12th, 2024 - about 10 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 1285789024 NPPES
North Carolina MEDICAID 0865469

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