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Organization
WAL-MART STORES TEXAS LLC
Active
Organization
WAL-MART STORES TEXAS LLC
Active
Other names
Walmart Pharmacy 10-5613
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
2121 N COLLINS ST, ARLINGTON, TX 76011-2878
(817) 505-1389
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
28330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138045
PK
—
05
—
470341
—
TX
05
—
NPI
—
TX
Enumeration date
11/15/2012
Last updated
08/30/2023
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