<Unavail>
LBN: Wal-Mart Stores East Lp
<Unavail> is an health care organization with primary practice located at 3200 N Ridge Rd , Ellicott City MD 21043-3363. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Wal-Mart Stores East Lp can be contacted via phone (410) 418-9703, or through Canonic, Kimberly via phone (480) 277-6348.
Contact Information
Primary practice address
3200 N Ridge Rd
Ellicott City MD 21043-3363
Phone: (410) 418-9703
Fax: (410) 480-1732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | P02055 | Maryland |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1013934397 |
|---|---|
| LBN Legal business name | Wal-Mart Stores East Lp |
| DBA Doing business as | <Unavail> |
| Authorized official | Canonic, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | May 30th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013934397 | NPPES |
| Maryland | MEDICAID | 415503300 | |
| Maryland | Other | 2036156 |
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