Walmart Pharmacy 10-2425

LBN: Walmart Inc
Walmart Pharmacy 10-2425 is an health care organization with primary practice located at 1101 Belt Line Rd , Collinsville IL 62234-4368. 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 / Pharmacy is the primary health care specialty. Walmart Inc can be contacted via phone (618) 381-7556, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
1101 Belt Line Rd Collinsville IL 62234-4368
Phone: (618) 381-7556
Fax: (618) 381-7555
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matthew
Phone: (479) 371-8711

Health care specialties

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

Profile Details

NPI number 1255865853
LBN Legal business name Walmart Inc
DBA Doing business as Walmart Pharmacy 10-2425
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2017
Last updated Sep 28th, 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 1255865853 NPPES
Other 2169401 PK

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