Walmart Pharmacy 10-5627

LBN: Walmart Inc.
Walmart Pharmacy 10-5627 is an health care organization with primary practice located at 3900 W Powell Blvd , Gresham OR 97030-6048. 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. Walmart Inc. can be contacted via phone (503) 405-9214, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
3900 W Powell Blvd Gresham OR 97030-6048
Phone: (503) 405-9214
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 / Community/Retail Pharmacy 3336C0003X RP-002719-CS Oregon

Profile Details

NPI number 1245591478
LBN Legal business name Walmart Inc.
DBA Doing business as Walmart Pharmacy 10-5627
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2012
Last updated Aug 30th, 2023 - about 3 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 1245591478 NPPES
Other 2135489 PK
MEDICAID 500654686 PK

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