Walmart Pharmacy 10-8958

LBN: Walmart Inc.
Walmart Pharmacy 10-8958 is an health care organization with primary practice located at 44100 Jefferson St Ste F , Indio CA 92201-2715. 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. Walmart Inc. can be contacted via phone (619) 205-4247, or through Lauver, Deb via phone (479) 258-2115.

Contact Information

Primary practice address
44100 Jefferson St Ste F Indio CA 92201-2715
Fax: (619) 205-4256
Website:
Authorized official contact:
Name: Lauver, Deb

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 55772 California

Profile Details

NPI number 1295265072
LBN Legal business name Walmart Inc.
DBA Doing business as Walmart Pharmacy 10-8958
Authorized official Lauver, Deb
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2017
Last updated Jul 19th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295265072 NPPES
California MEDICAID 1295265072
California Other 2172198

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