Wal-Mart Stores Texas LLC

NPI #1164800330 in Amarillo, Texas

Provider Information

NPI Number
1164800330
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 8, 2015
Last Updated
Feb 16, 2017

Practice Location

Address
2711 SW 58TH AVE
State
Texas
ZIP Code
79110-3151
Phone
(806) 513-6505

Authorized Official

Name
SARAH LITTLE
Title
DIRECTOR OF HEALTHCARE CONTRACTING
Phone
(479) 277-2500

Specialties & Taxonomy Codes

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

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