<Unavail>

LBN: Wal-Mart Stores East, Lp
<Unavail> is an health care organization with primary practice located at 2400 Cypress St , West Monroe LA 71291-4555. 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) 267-3001, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
2400 Cypress St West Monroe LA 71291-4555
Phone: (318) 267-3001
Fax: (318) 267-3002
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.007036-RC Louisiana

Profile Details

NPI number 1962805671
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 Oct 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962805671 NPPES
Other 2149194 PK
MEDICAID 2203525 PK

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