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Contact Information

WAL-MART STORES EAST LP
14331 COUNTY RD 99
HEADLAND, AL36345
 Phone: 334-693-9013
 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 EAST LP

NPI # 1174939326
LBN Legal business name WAL-MART STORES EAST LP
Authorized official LAURA LEVINE - (DIR HEALTHCARE CONTRACT & ENRO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2014
Last updated 01/06/2015 - About 11 years ago
Identifiers
AL License # 114410
AL Medicaid 167520
Other 2146781 PK
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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