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WAL-MART STORES EAST LP NPI 1568984912


NPI Information

NPI: 1568984912
Provider Name: WAL-MART STORES EAST LP

Doing Business As: WALMART PHARMACY 10-7185

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2174072

Address:
3655 BROWNS BRIDGE RD
CUMMING, GA
ZIP 30028
Phone: (479) 277-2500
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WAL-MART STORES EAST LP is a community/retail pharmacy pharmacy in Cumming, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WAL-MART STORES EAST LP NPI is 1568984912. The provider is registered as an organization entity type.
The provider Is Doing Business As Walmart Pharmacy 10-7185.

The provider's business location address is:

3655 BROWNS BRIDGE RD
CUMMING, GA
ZIP 30028
Phone: (479) 277-2500

The provider's authorized official is Sarah Little .
The authorized official title is Director Of Health Care Contracting and has the following contact phone number (479) 277-2500.

The CLIA number assigned to this NPI record is 11D2174072 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 9/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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