Walmart Inc. in Decatur - Community/retail Pharmacy
Walmart Inc. - NPI 1407873797
Walmart Inc. is a Community/retail Pharmacy in Decatur, Illinois. Walmart Inc. practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Walmart Inc. is 1407873797. The last update date is 2023-08-29.
Walmart Inc.'s current location address is 4625 E Maryland St, Decatur, Illinois. You can contact this provider via phone number 2178649288. The mailing address for Walmart Inc. is 4625 E Maryland St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walmart Inc. |
|---|---|
| Address | 4625 E Maryland St, Decatur, Illinois |
| Phone Number | 2178649288 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Little Sarah |
| Telephone Number | 4792772500 |
NPI Number Detail
| NPI Number | 1407873797 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2023-08-29 |
Provider Mailing Address Detail
| Address | 4625 E Maryland St |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625215092 |
| Phone Number | 2178649288 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 54014129 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2024756 | PK |
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What is the unique 10-digit identification code issued to Walmart Inc. by the Centers for Medicare & Medicaid Services?
The Walmart Inc. has been assigned the NPI (National Provider Identifier) 1407873797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Walmart Inc. located?
The Walmart Inc. is located at 4625 E Maryland St, Decatur, IL 625215092.
What is the Walmart Inc.'s area of specialization and corresponding taxonomy classification?
The Walmart Inc.'s specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407873797 to Walmart Inc.?
The Centers for Medicare & Medicaid Services assigned the 1407873797 to Walmart Inc. on 2006-07-16.
As of what date were the Walmart Inc.'s details last updated?
The information pertaining to the Walmart Inc., including its address, specialty, and other details, was most recently updated on 2023-08-29.
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