Wal-Mart Stores Texas LLC

NPI #1659773828 in Edgewood, Texas

Provider Information

NPI Number
1659773828
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 19, 2014
Last Updated
Apr 29, 2015

Practice Location

Address
504 W PINE ST
State
Texas
ZIP Code
75117-2944
Phone
(903) 896-7053

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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