Walmart Pharmacy 10-4377

LBN: Walmart Inc.
Walmart Pharmacy 10-4377 is an health care organization with primary practice located at 2000 W Victory Way , Craig CO 81625-3440. 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 (970) 824-0317, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
2000 W Victory Way Craig CO 81625-3440
Phone: (970) 824-0317
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 709 Colorado

Profile Details

NPI number 1952501710
LBN Legal business name Walmart Inc.
DBA Doing business as Walmart Pharmacy 10-4377
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 19th, 2018 - about 8 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 1952501710 NPPES
Other 1997767 PK
MEDICAID 09584013 PK
MEDICAID 126531800 PK

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