institution
Walmart Inc.
Specialty Pharmacy in Idaho Falls, Idaho
NPI 1255358503

Walmart Inc. is a Specialty Pharmacy based in Bentonville, ID and is specialized in Specialty Pharmacy. Walmart Inc. practices in Idaho Falls, ID. The NPI Number for Walmart Inc. is 1255358503 and holds a License No. (Idaho).

The current practice location address for Walmart Inc. is 500 S Utah Ave, Idaho Falls, ID and can be reached out via phone at 208-528-8703 and via fax at 208-528-8695.

Location: 500 S Utah Ave, Idaho Falls, ID, 72716-0445
institution
Provider Profile Details
NPI Number
1255358503
Provider Name
Walmart Inc.
Credential
Provider Entity Type
Organization
Address
500 S Utah Ave, Idaho Falls, ID, 72716-0445
Phone Number
208-528-8703
Fax Number
208-528-8695
Provider Enumeration Date
07/16/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807089300 05 ID
2021893 01 PK
807125800 05 ID
institution
Provider Business Practice Location Address Details
Address
500 S Utah Ave
City
State
Zip
83402-3305
Phone Number
208-528-8703
Fax Number
208-528-8695
person
Provider Business Mailing Address Details
Address
500 S Utah Ave
City
State
Zip
83402-3305
Phone Number
208-528-8703
Fax Number
208-528-8695
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
1918RP (Idaho)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
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 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.
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Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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