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Wal-mart Stores Texas Llc

Wal-mart Stores Texas Llc is a health care provider in Bentonville, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 255 Fm 518 Rd, Kemah, TX 77565-3219, US
Practice Location Phone281-538-9978
Practice Location Fax
Legal Business NameWAL-MART STORES TEXAS LLC
Other Organization NameWALMART PHARMACY 10-3298
Other Organization Name TypeDoing Business As Name
NPI ?1831116979
Entity TypeOrganization
Enumeration Date ? Jul 16, 2006
Last Update Date ? Feb 15, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wal-mart Stores Texas Llc

SpecialtySpecializationLicenseLicense State
Durable Medical Equipment & Medical Supplies
Pharmacy
PharmacyCommunity/Retail Pharmacy 21913Texas

legacy-id-icon Legacy Provider IDs of Wal-mart Stores Texas Llc

Provider IdIssuer StateIssuer TypeIssuer
2097302OtherPK
470663TexasMedicaid

official-icon Authorized Official of Wal-mart Stores Texas Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wal-mart Stores Texas Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sarah Little
Authorized Official Title/PositionDIRECTOR OF HEALTHCARE CONTRACTING
Authorized Official Phone Number479-277-2500