Wal-Mart Pharmacy 10-1247

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy 10-1247 is an health care organization with primary practice located at 120 Daniel Boone Plz , Hazard KY 41701-5335. 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 (606) 439-1871, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
120 Daniel Boone Plz Hazard KY 41701-5335
Phone: (606) 439-1871
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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PO2143 Kentucky

Profile Details

NPI number 1720005044
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy 10-1247
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720005044 NPPES
Other 2031452 PK
MEDICAID 5402372600 PK
MEDICAID 5400782800 PK

Popular Providers