WAL-MART STORES EAST LP
NPI: 1912131384
· LOCUST, NC 28097
· Durable Medical Equipment & Medical Supplies
· NPI assigned 05/13/2009
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official CANONIC, KIMBERLY controls 20+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | CANONIC, KIMBERLY (SENIOR DIRECTOR, ENROLLMENT) |
| NPI Enumeration Date | 05/13/2009 |
Related Entities
Other providers sharing the same authorized official: CANONIC, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
46 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 91300 |
|
46 |
42 |
$0.00 |