Wal-Mart Stores Texas LLC

NPI #1922401736 in Grandview, Texas

Provider Information

NPI Number
1922401736
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 7, 2014
Last Updated
Aug 20, 2015

Practice Location

Address
416 N 3RD ST
State
Texas
ZIP Code
76050-1933
Phone
(817) 866-2829

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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