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Contact Information

WAL-MART STORES EAST LP
15495 PANAMA CITY BEACH PKY
PANAMA BEACH CITY, FL32413
 Phone: 850-708-6971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for WAL-MART STORES EAST LP

NPI # 1588904593
LBN Legal business name WAL-MART STORES EAST LP
Authorized official SARIAN GRIDER - (SPECIALIST PLAN ENROLLMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/28/2013
Last updated 02/28/2013 - About 13 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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