WAL-MART STORE, INC.; NPI #1386819142

Contact Information

WAL-MART STORE, INC.

5695 HWY 95 N
LAKE HAVASU CITY, AZ 86403-9646

Phone: 928-764-3755
Fax: 928-472-2815
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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

NPI #	`1386819142`
LBN Legal business name	WAL-MART STORE, INC.
Authorized official	SARAH LITTLE - (DIRECTOR HEALTHCARE CONTRACTING)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/23/2008
Last updated	07/21/2022 - About 4 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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WAL-MART STORE, INC.

Contact Information

Specialty

Eyewear Supplier

Optician

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

Reviews for WAL-MART STORE, INC.