Walmart Pharmacy 10-5434
LBN: Walmart Inc.
Walmart Pharmacy 10-5434 is an health care organization with primary practice located at 15555 Hesperian Blvd , San Leandro CA 94579-1801. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Walmart Inc. can be contacted via phone (510) 351-0132, or through Little, Sarah via phone (479) 277-2500.
Contact Information
Primary practice address
15555 Hesperian Blvd
San Leandro CA 94579-1801
Phone: (510) 351-0132
Fax: (510) 667-0458
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 49273 | California |
Profile Details
NPI number | 1417192634 |
---|---|
LBN Legal business name | Walmart Inc. |
DBA Doing business as | Walmart Pharmacy 10-5434 |
Authorized official | Little, Sarah |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 3rd, 2008 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417192634 | NPPES |
California | MEDICAID | 1417192634 | |
California | Other | 2118200 |
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