Wal-Mart Stores Texas LLC

NPI #1033516117 in Haskell, Texas

Provider Information

NPI Number
1033516117
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 4, 2014
Last Updated
Apr 15, 2015

Practice Location

Address
5 N 14TH ST
State
Texas
ZIP Code
79521-3106
Phone
(940) 864-8085

Authorized Official

Name
LAURA LEVINE
Title
DR. HEALTHCARE & ENROLLMENT
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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