<Unavail>

LBN: Wal-Mart Stores East Lp
<Unavail> is an health care organization with primary practice located at 4430 Desiard St , Monroe LA 71203-4532. 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) 267-3609, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
4430 Desiard St Monroe LA 71203-4532
Fax: (318) 267-3610
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.007034-RC Louisiana

Profile Details

NPI number 1265835946
LBN Legal business name Wal-Mart Stores East Lp
DBA Doing business as <Unavail>
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2014
Last updated Aug 23rd, 2023 - about 3 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 1265835946 NPPES
Other 2149174 PK
MEDICAID 2203401 PK

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