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Wal-mart Stores East Lp

Wal-mart Stores East Lp is a health care provider in Bentonville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 34025 La Highway 16, Denham Springs, LA 70706-8629, US
Practice Location Phone225-271-2314
Practice Location Fax
Legal Business NameWAL-MART STORES EAST LP
Other Organization NameWALMART PHARMACY 10-4679
Other Organization Name TypeDoing Business As Name
NPI ?1700159522
Entity TypeOrganization
Enumeration Date ? Feb 10, 2012
Last Update Date ? Feb 20, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wal-mart Stores East Lp

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
PharmacyCommunity/Retail Pharmacy 6496-RCLouisiana

legacy-id-icon Legacy Provider IDs of Wal-mart Stores East Lp

Provider IdIssuer StateIssuer TypeIssuer
2133809OtherPK
2201794LouisianaMedicaid

official-icon Authorized Official of Wal-mart Stores East Lp

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wal-mart Stores East Lp's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sarah Little
Authorized Official Title/PositionDIRECTOR OF HEALTHCARE CONTRACTING
Authorized Official Phone Number479-277-2500