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Organization
WAL-MART STORES TEXAS LLC
Active
Organization
WAL-MART STORES TEXAS LLC
Active
Other names
Walmart Pharmacy 10-2439
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
8700 N HIGHWAY 146, BAYTOWN, TX 77523-6001
(281) 918-3067
(281) 918-3024
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760898464
—
TX
01
—
2146694
PK
—
05
—
469300
—
TX
Enumeration date
07/02/2014
Last updated
08/29/2023
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