Wal-Mart Pharmacy 10-2528

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-2528 is an health care organization with primary practice located at 167 Hogan Blvd , Mill Hall PA 17751-1902. 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 (570) 893-8184, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
167 Hogan Blvd Mill Hall PA 17751-1902
Fax:
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 PP415436L Pennsylvania
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1407873631
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-2528
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Apr 15th, 2024 - 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 1407873631 NPPES
Pennsylvania MEDICAID 1007455310132
Pennsylvania Other 2083944

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