Wal-Mart Pharmacy

LBN: Wal-Mart Stores East Lp
Wal-Mart Pharmacy is an health care organization with primary practice located at 3255 La Highway 1 S , Port Allen LA 70767-5858. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (225) 749-7454, or through Wright, Randy via phone (479) 273-6574.

Contact Information

Primary practice address
3255 La Highway 1 S Port Allen LA 70767-5858
Fax: (225) 749-7418
Website:
Authorized official contact:
Name: Wright, Randy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 4788RC Louisiana

Profile Details

NPI number 1932200912
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as Wal-Mart Pharmacy
Authorized official Wright, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 3rd, 2008 - about 18 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 1932200912 NPPES
Louisiana MEDICAID 1269930
Louisiana Other 1923110

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