<Unavail>

LBN: Wal-Mart Stores East , Lp
<Unavail> is an health care organization with primary practice located at 1840 Mckeen Pl , Monroe LA 71201-4465. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wal-Mart Stores East , Lp can be contacted via phone (318) 267-3617, or through Mcmullin, Matthew via phone (479) 371-8711.

Contact Information

Primary practice address
1840 Mckeen Pl Monroe LA 71201-4465
Phone: (318) 267-3617
Fax: (318) 267-3618
Website:
Map and Directions
Authorized official contact:
Name: Mcmullin, Matthew
Phone: (479) 371-8711

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.007035-RC Louisiana

Profile Details

NPI number 1235532045
LBN Legal business name Wal-Mart Stores East , Lp
DBA Doing business as <Unavail>
Authorized official Mcmullin, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2014
Last updated May 30th, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235532045 NPPES
Louisiana MEDICAID 2203479
Louisiana Other 2149160

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