<Unavail>
LBN: Wal-Mart Stores East Lp
<Unavail> is an health care organization with primary practice located at 5175 Brookberry Park Ave , Winston Salem NC 27104-3784. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wal-Mart Stores East Lp can be contacted via phone (336) 245-3009, or through Canonic, Kimberly via phone (480) 277-6348.
Contact Information
Primary practice address
5175 Brookberry Park Ave
Winston Salem NC 27104-3784
Phone: (336) 245-3009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 12072 | North Carolina |
Profile Details
| NPI number | 1497162457 |
|---|---|
| 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 22nd, 2014 |
| Last updated | Jun 10th, 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 | 1497162457 | NPPES |
| Other | 2147314 | PK | |
| MEDICAID | 1497162457 | PK |
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