Wal-Mart Pharmacy 10-3496

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-3496 is an health care organization with primary practice located at 5825 W Hope Ave , Milwaukee WI 53216-1275. 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 (414) 445-3959, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
5825 W Hope Ave Milwaukee WI 53216-1275
Phone: (414) 445-3959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8219042 Wisconsin

Profile Details

NPI number 1164449237
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-3496
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jul 10th, 2013 - about 13 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 1164449237 NPPES
Wisconsin MEDICAID 33263000
Wisconsin Other 2109993

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