<Unavail>
LBN: Wal-Mart Stores East Lp
<Unavail> is an health care organization with primary practice located at 51 Silver Spring St , Providence RI 02904-2557. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wal-Mart Stores East Lp can be contacted via phone (401) 272-5340, or through Canonic, Kimberly via phone (480) 853-0515.
Contact Information
Primary practice address
51 Silver Spring St
Providence RI 02904-2557
Phone: (401) 272-5340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHA00375 | Rhode Island |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1083779409 |
|---|---|
| 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 | Dec 26th, 2006 |
| Last updated | Jun 19th, 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 | 1083779409 | NPPES |
| Other | 2089571 | PK | |
| MEDICAID | WM64210 | PK |
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