Wal-Mart Stores Texas LLC

NPI #1659774339 in Whitewright, Texas

Provider Information

NPI Number
1659774339
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 8, 2014
Last Updated
Apr 28, 2015

Practice Location

Address
301 S HIGHWAY 69
State
Texas
ZIP Code
75491
Phone
(903) 364-2562

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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