<Unavail>

LBN: Wal-Mart Stores East Lp
<Unavail> is an health care organization with primary practice located at 2525 N Decatur Rd , Decatur GA 30033-6126. 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 (404) 464-4475, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
2525 N Decatur Rd Decatur GA 30033-6126
Phone: (404) 464-4475
Fax: (404) 464-4474
Website:
Map and Directions
Authorized official contact:
Name: Little, Sarah
Phone: (479) 277-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010189 Georgia

Profile Details

NPI number 1912375809
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 Sep 9th, 2015
Last updated Aug 30th, 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 1912375809 NPPES
Georgia MEDICAID 003169189A
Georgia Other 2153992

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