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Organization
WAL-MART STORES TEXAS LLC
Active
Organization
WAL-MART STORES TEXAS LLC
Active
Other names
Walmart Pharmacy 10-6286
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3404 W STAN SCHLUETER LOOP, KILLEEN, TX 76549-4705
(254) 669-6169
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-1258
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150352
PK
—
05
—
470342
—
TX
Enumeration date
02/16/2015
Last updated
02/15/2017
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