Wal-Mart Stores Texas LLC

NPI #1629096425 in Georgetown, Texas

Provider Information

NPI Number
1629096425
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Aug 29, 2023

Practice Location

Address
620 S INTERSTATE 35
State
Texas
ZIP Code
78628-4157
Phone
(512) 869-4966

Authorized Official

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

Specialties & Taxonomy Codes

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

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