Organization Name: | WAL-MART STORES EAST LP |
NPI Number: | 1306187653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA LEVINE (MANAGER GOVT CONTRACTING) |
Mailing Address: | 2637 Gentry Memorial Hwy Pickens |
State: | SC US |
Postal Code: | 296719429 |
Phone Number: | 8646056617 |
Fax Number: | 8648789158 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 08/08/2013 |
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 |