Walmart Pharmacy 10-4350

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-4350 is an health care organization with primary practice located at 200 Old Fair Grounds Way , Kilmarnock VA 22482-3871. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (804) 435-6317, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
200 Old Fair Grounds Way Kilmarnock VA 22482-3871
Fax:
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0201004193 Virginia

Profile Details

NPI number 1225222631
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-4350
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225222631 NPPES
Virginia MEDICAID 1225222631
Virginia MEDICAID 1225222631DME
Virginia Other 2106310

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