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Organization

WAL-MART STORES TEXAS, LLC

Active
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Organization

WAL-MART STORES TEXAS, LLC

Active
Parent organization
WAL-MART STORES, INC.
Other names
Wal-Mart Pharmacy 10-4508
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
DONNA PARSLEY (THIRD PARTY ENROLLMENT MANAGER)
(479) 277-1242
Entity
Organization

Contact information

Practice address
1705 EXPRESSWAY 83, PENITAS, TX 78576
(956) 580-6840
Mailing address
702 SW 8TH ST., BENTONVILLE, AR 72716-0445
(479) 277-1242

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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