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Organization
WAL-MART STORES TEXAS LLC
Active
Organization
WAL-MART STORES TEXAS LLC
Active
Other names
WalMart Pharmacy 10-5889
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
9410 WEBB CHAPEL RD, DALLAS, TX 75220-6753
(972) 629-0029
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-0709
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053655837
—
TX
01
—
2138060
PK
—
05
—
469044
—
TX
Enumeration date
11/19/2012
Last updated
08/29/2023
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