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Contact Information

WAL-MART STORES, INC.
100 SOUTHEAST 29TH ST.
GRAND RAPIDS, MI55744
 Phone: 218-326-1101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for WAL-MART STORES, INC.

NPI Number 1902071764
LBN Legal business name WAL-MART STORES, INC.
Authorized official DAVID SIMMONS - (NPI ASSOCIATE)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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