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Walmart Inc.
Community/Retail Pharmacy in Mount Vernon, Illinois
NPI 1700803079

Walmart Inc. is a Community/Retail Pharmacy based in Bentonville, IL and is specialized in Community/Retail Pharmacy. Walmart Inc. practices in Mount Vernon, IL. The NPI Number for Walmart Inc. is 1700803079 and holds a License No. (Illinois).

The current practice location address for Walmart Inc. is 110 Davidson Rd, Mount Vernon, IL and can be reached out via phone at 618-244-0735.

Location: 110 Davidson Rd, Mount Vernon, IL, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700803079
Provider Name
Walmart Inc.
Credential
Provider Entity Type
Organization
Address
110 Davidson Rd, Mount Vernon, IL, 72716-0445
Phone Number
618-244-0735
Fax Number
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2019394 01 PK
institution
Provider Business Practice Location Address Details
Address
110 Davidson Rd
City
Mount Vernon
State
Illinois
Zip
62864-6741
Phone Number
618-244-0735
Fax Number
person
Provider Business Mailing Address Details
Address
110 Davidson Rd
City
Mount Vernon
State
Illinois
Zip
62864-6741
Phone Number
618-244-0735
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
054009253 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
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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