Walmart Pharmacy 10-4516

LBN: Walmart Inc.
Walmart Pharmacy 10-4516 is an health care organization with primary practice located at 660 W Martin Luther King Blvd , Fayetteville AR 72701-6443. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walmart Inc. can be contacted via phone (479) 435-2008, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
660 W Martin Luther King Blvd Fayetteville AR 72701-6443
Fax: (479) 435-2006
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X AR20838 Arkansas
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1649635459
LBN Legal business name Walmart Inc.
DBA Doing business as Walmart Pharmacy 10-4516
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2015
Last updated Jul 19th, 2018 - about 7 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 1649635459 NPPES
Other 2157833 PK
MEDICAID 213294407 PK

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