Wal-Mart Pharmacy 10-5131

LBN: Wal-Mart Stores East , Lp
Wal-Mart Pharmacy 10-5131 is an health care organization with primary practice located at 3461 Horizon Blvd , Trevose PA 19053-4967. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East , Lp can be contacted via phone (215) 942-7483, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
3461 Horizon Blvd Trevose PA 19053-4967
Phone: (215) 942-7483
Fax:
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 PP481530 Pennsylvania
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1053339853
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Wal-Mart Pharmacy 10-5131
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated May 22nd, 2024 - 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 1053339853 NPPES
Pennsylvania MEDICAID 1007455310242
Pennsylvania Other 2087492
Pennsylvania MEDICAID PP481530

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