<Unavail>

LBN: Wal-Mart Stores East Lp
<Unavail> is an health care organization with primary practice located at 301 S State Road 7 , Hollywood FL 33023-6756. 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 / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores East Lp can be contacted via phone (754) 260-6711, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
301 S State Road 7 Hollywood FL 33023-6756
Phone: (754) 260-6711
Fax: (754) 260-6710
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH29983 Florida

Profile Details

NPI number 1366801839
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 Feb 12th, 2016
Last updated Jun 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366801839 NPPES
Other 2158162 PK
MEDICAID 017210500 PK
MEDICAID 017210501 DME PK

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