Wal-Mart Stores Texas LLC

NPI #1679834147 in Dallas, Texas

Provider Information

NPI Number
1679834147
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 31, 2012
Last Updated
Feb 20, 2014

Practice Location

Address
2218 GREENVILLE AVE
City
Dallas
State
Texas
ZIP Code
75206-7122
Phone
(972) 581-0430

Authorized Official

Name
LAURA LEVINE
Title
MGR OF GOVERNMENT CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

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

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