Wal-Mart Stores Texas, LLC

NPI #1043496482 in Penitas, Texas

Provider Information

NPI Number
1043496482
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES, INC.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 16, 2008
Last Updated
Jan 16, 2008

Practice Location

Address
1705 EXPRESSWAY 83
State
Texas
ZIP Code
78576
Phone
(956) 580-6840

Authorized Official

Name
DONNA PARSLEY
Title
THIRD PARTY ENROLLMENT MANAGER
Phone
(479) 277-1242

Specialties & Taxonomy Codes

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

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