Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WAL-MART STORES TEXAS, LLC
Active
Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Pharmacy 10-4367
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
3302 SUMMERHILL RD, TEXARKANA, TX 75503-3905
(903) 716-7019
(903) 716-7020
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208759407
—
AR
01
—
2149122
PK
—
05
—
470146
—
TX
Enumeration date
10/09/2014
Last updated
08/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up