Wal-Mart Stores Texas LLC

NPI #1871994921 in Anson, Texas

Provider Information

NPI Number
1871994921
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 9, 2014
Last Updated
Jan 7, 2016

Practice Location

Address
122 COMMERCIAL AVE
City
Anson
State
Texas
ZIP Code
79501-2000
Phone
(325) 823-2483

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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