Walmart Pharmacy 10-0042

LBN: Walmart Inc.
Walmart Pharmacy 10-0042 is an health care organization with primary practice located at 1863 Cr 5300 , Coffeyville KS 67337-8301. 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 (620) 251-5528, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
1863 Cr 5300 Coffeyville KS 67337-8301
Fax:
Website:
Authorized official contact:
Name: Mcmullin, Matthew

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-10290 Kansas

Profile Details

NPI number 1366469751
LBN Legal business name Walmart Inc.
DBA Doing business as Walmart Pharmacy 10-0042
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Nov 6th, 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 1366469751 NPPES
Other 2032065 PK
MEDICAID 6010831822 PK
MEDICAID 100432940A PK

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