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WALMART PHARMACY NPI 1881058543


NPI Information

NPI: 1881058543
Provider Name: WALMART PHARMACY
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2844 N BROADWAY ST
CHICAGO, IL
ZIP 60657
Phone: (773) 687-4513
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WALMART PHARMACY is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WALMART PHARMACY NPI is 1881058543. The provider is registered as an organization entity type.

The provider's business location address is:

2844 N BROADWAY ST
CHICAGO, IL
ZIP 60657-017
Phone: (773) 687-4513

The provider's authorized official is Gunjan Shah .
The authorized official title is Pharmacy Manager and has the following contact phone number (773) 687-4513.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 4/8/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health054.018094ILLINOISYes

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: 4/28/2024

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