Wal-Mart Pharmacy

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy is an health care organization with primary practice located at 906 W Main St , Homer LA 71040-3328. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (318) 927-9055, or through Painter, Dianna via phone (479) 277-1238.

Contact Information

Primary practice address
906 W Main St Homer LA 71040-3328
Phone: (318) 927-9055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Painter, Dianna
Phone: (479) 277-1238

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 4777RC Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1881611143
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy
Authorized official Painter, Dianna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1881611143 NPPES
Other 1924237 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 1270377 OTHER ID NUMBER-COMMERCIAL NUMBER

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