Walmart Pharmacy 10-0152

Community/Retail Pharmacy Accepts Medicare


  
  12862 State Route 21, De Soto
Missouri, 63020-4742

 636-586-9666   
Walmart Pharmacy 10-0152 is a Community/Retail Pharmacy in De Soto, Missouri. This pharmacy is owned and operated by Wal-mart Stores East Lp. It is located at 12862 State Route 21, De Soto and it's customer support contact number is 636-586-9666. The authorized person of Walmart Pharmacy 10-0152 is Matthew Mcmullin who is Director, Contracting of the pharmacy and his contact number is 479-371-8711. Active license number of Walmart Pharmacy 10-0152 is 2002009218 for Community/Retail Pharmacy in Missouri. Walmart Pharmacy 10-0152 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Walmart Pharmacy 10-0152 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.


Pharmacy Details:
Walmart Pharmacy 10-0152 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Walmart Pharmacy 10-0152
Type: Community/Retail Pharmacy
Location:12862 State Route 21, De Soto,
Missouri, 63020-4742
Phone:636-586-9666
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Matthew Mcmullin
Position: Director, Contracting
Contact Number: 479-371-8711
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1467470963
NPI Enumeration Date: 17 Jul, 2006
NPI Last Update On: 01 Dec, 2023

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Walmart Pharmacy 10-0152 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2002009218MissouriPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2047591OtherPk
608878708MedicaidMissouri
Medicare Enrollment:
Walmart Pharmacy 10-0152 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
6204749997O20100930019679Wal-mart Stores East LpDME SUPPLIER - PHARMACY
Products Available:
Walmart Pharmacy 10-0152 has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Mail Order
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Ostomy Supplies
  • Prosthetic Lenses: Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses
  • Surgical Dressings
  • Walkers
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 702 Sw 8th St,
    Bentonville, Arkansas
    Zip: 72716-0445
    Phone Number: --
    Fax Number: --
    Patients can reach Walmart Pharmacy 10-0152 at 12862 State Route 21, De Soto, Missouri or can call on customer care at 636-586-9666.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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