Walmart Pharmacy 10-5725
LBN: Walmart Inc.
Walmart Pharmacy 10-5725 is an health care organization with primary practice located at 831 E Fort Lowell Rd , Tucson AZ 85719-2109. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Walmart Inc. can be contacted via phone (520) 719-6340, or through Lauver, Deb via phone (479) 258-2115.
Contact Information
Primary practice address
831 E Fort Lowell Rd
Tucson AZ 85719-2109
Phone: (520) 719-6340
Fax: (520) 719-6348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | Y007150 | Arizona |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1104364157 |
|---|---|
| LBN Legal business name | Walmart Inc. |
| DBA Doing business as | Walmart Pharmacy 10-5725 |
| Authorized official | Lauver, Deb |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2017 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104364157 | NPPES |
| Arizona | MEDICAID | 261778 | |
| Arizona | Other | 2168023 |
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