Walmart Pharmacy 10-4115

LBN: Wal-Mart Stores Texas Llc
Walmart Pharmacy 10-4115 is an health care organization with primary practice located at 602 Cibolo Valley Dr , Cibolo TX 78108-3801. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores Texas Llc can be contacted via phone (210) 659-9245, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
602 Cibolo Valley Dr Cibolo TX 78108-3801
Fax: (210) 659-9208
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 30087 Texas

Profile Details

NPI number 1679951016
LBN Legal business name Wal-Mart Stores Texas Llc
DBA Doing business as Walmart Pharmacy 10-4115
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2015
Last updated Feb 21st, 2017 - about 9 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 1679951016 NPPES
Texas MEDICAID 468011
Texas Other 2152816

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