Wal-Mart Pharmacy 10-2614

LBN: Wal-Mart Stores East , Lp
Wal-Mart Pharmacy 10-2614 is an health care organization with primary practice located at 5370 Allentown Pike , Temple PA 19560-1200. 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 (610) 939-0616, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
5370 Allentown Pike Temple PA 19560-1200
Phone: (610) 939-0616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matthew
Phone: (479) 371-8711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PP415551L Pennsylvania
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1770500902
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as Wal-Mart Pharmacy 10-2614
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated May 21st, 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 1770500902 NPPES
Pennsylvania MEDICAID 1007455310130
Pennsylvania Other 2084753

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