Walmart Pharmacy 10-4619

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-4619 is an health care organization with primary practice located at 316 S Gloster St , Tupelo MS 38801-4748. 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. Wal-Mart Stores East Lp can be contacted via phone (662) 350-6920, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
316 S Gloster St Tupelo MS 38801-4748
Fax: (662) 350-6919
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 14710/1.2 Mississippi

Profile Details

NPI number 1053771386
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-4619
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Feb 29th, 2016
Last updated Feb 15th, 2017 - about 9 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 1053771386 NPPES
Other 2158941 PK
MEDICAID 03929751 PK

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