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Contact Information

WAL-MART STORES, INC.
912 11TH STREET EAST
BOTTINEAU, ND58318
 Phone: 701-228-5930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

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

NPI # 1104002534
LBN Legal business name WAL-MART STORES, INC.
Authorized official DIANNA PAINTER - (TP ENROLLMENT SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/16/2008
Last updated 02/06/2009 - About 17 years ago
Identifiers
Other 3504481 NCPDP PROVIDER IDENTIFICATION NUMBER
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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