Wal-Mart Stores Texas LLC

NPI #1639197460 in Henderson, Texas

Provider Information

NPI Number
1639197460
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Dec 1, 2023

Practice Location

Address
2121 US HIGHWAY 79 S
State
Texas
ZIP Code
75654-4405
Phone
(903) 657-2757

Authorized Official

Name
MATTHEW MCMULLIN
Title
DIRECTOR, CONTRACTING
Phone
(479) 371-8711

Specialties & Taxonomy Codes

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

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