Walmart Pharmacy 10-5315
LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-5315 is an health care organization with primary practice located at 2354 Commerce Park Dr Ste 100 , Orlando FL 32819-8601. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty.
Wal-Mart Stores East Lp can be contacted via phone (877) 453-4566, or through Mcmullin, Matt via phone (479) 371-8711.
Contact Information
Primary practice address
2354 Commerce Park Dr Ste 100
Orlando FL 32819-8601
Phone: (877) 453-4566
Fax: (866) 537-0877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Specialty Pharmacy | 3336S0011X | 965 | North Dakota |
| Suppliers / Specialty Pharmacy | 3336S0011X | PHA-MOP-LIC-12447 | Montana |
| Suppliers / Specialty Pharmacy | 3336S0011X | 262265 | Minnesota |
| Suppliers / Specialty Pharmacy | 3336S0011X | FL873 | Kentucky |
| Suppliers / Specialty Pharmacy | 3336S0011X | 054.015021 | Illinois |
| Suppliers / Specialty Pharmacy | 3336S0011X | OS01543 | Arkansas |
| Suppliers / Specialty Pharmacy | 3336S0011X | 64000468A | Indiana |
| Suppliers / Specialty Pharmacy | 3336S0011X | PHY.005063-OS | Louisiana |
| Suppliers / Specialty Pharmacy | 3336S0011X | 22601 | Texas |
| Suppliers / Specialty Pharmacy | 3336S0011X | 3872 | Tennessee |
| Suppliers / Specialty Pharmacy | 3336S0011X | 5301007714 | Michigan |
| Suppliers / Specialty Pharmacy | 3336S0011X | 2003010214 | Missouri |
| Suppliers / Specialty Pharmacy | 3336S0011X | 99-6096 | Oklahoma |
| Suppliers / Specialty Pharmacy | 3336S0011X | PH18943 | Florida |
| Suppliers / Specialty Pharmacy | 3336S0011X | 021368750-03 | Ohio |
Profile Details
| NPI number | 1013934413 |
|---|---|
| LBN Legal business name | Wal-Mart Stores East Lp |
| DBA Doing business as | Walmart Pharmacy 10-5315 |
| Authorized official | Mcmullin, Matt |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 13th, 2023 - about 2 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 | 1013934413 | NPPES |
| Pennsylvania | MEDICAID | 1007455310380 | |
| Pennsylvania | MEDICAID | 1013934413 | |
| Pennsylvania | MEDICAID | 025831800 | |
| Pennsylvania | MEDICAID | 25831800 | |
| Pennsylvania | MEDICAID | 006340 | |
| Pennsylvania | Other | 2015188 | |
| Pennsylvania | MEDICAID | 3810010863 | |
| Pennsylvania | MEDICAID | 100505069 | |
| Pennsylvania | MEDICAID | 0311413 | |
| Pennsylvania | MEDICAID | 100445350C | |
| Pennsylvania | MEDICAID | 80658873 | |
| Pennsylvania | MEDICAID | 1013934413 |
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