Organization Name: | WAL-MART STORES EAST, LP |
NPI Number: | 1215336540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA LEVINE (DIR HEALTHCARE CONTRACTING) |
Mailing Address: | 7104 Will Robbins Hwy Nettleton |
State: | MS US |
Postal Code: | 388585918 |
Phone Number: | 6629630013 |
Fax Number: | 6629630015 |
NPI Enumeration Date: | 08/22/2014 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |