Walmart Pharmacy 10-4615

LBN: Wal-Mart Stores East Lp
Walmart Pharmacy 10-4615 is an health care organization with primary practice located at 12200 S Waco Ave , Glenpool OK 74033-5655. 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 (918) 299-8030, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
12200 S Waco Ave Glenpool OK 74033-5655
Phone: (918) 299-8030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Little, Sarah
Phone: (479) 277-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-5298 Oklahoma

Profile Details

NPI number 1275719601
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Walmart Pharmacy 10-4615
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Aug 29th, 2023 - about 3 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 1275719601 NPPES
Other 2077199 PK
MEDICAID 100240050N PK

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