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Organization
WAL-MART STORES TEXAS LLC
Active
Organization
WAL-MART STORES TEXAS LLC
Active
Other names
Walmart Pharmacy 10-3056
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING)
(479) 277-2500
Entity
Organization
Contact information
Practice address
305 SINGING OAKS, SPRING BRANCH, TX 78070-6505
(830) 438-1831
(830) 438-2938
Mailing address
702 SW 8TH ST, MAILSTOP 0445, 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
30086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152785
PK
—
05
—
469563
—
TX
Enumeration date
05/07/2015
Last updated
08/30/2023
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