Wal-Mart Stores Texas LLC

NPI #1164828968 in Kemp, Texas

Provider Information

NPI Number
1164828968
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 6, 2014
Last Updated
Jan 12, 2016

Practice Location

Address
221 STATE HIGHWAY 274
City
Kemp
State
Texas
ZIP Code
75143-4602
Phone
(903) 498-7010

Authorized Official

Name
LAURA LEVINE
Title
DIR. HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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