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Contact Information

WAL-MART STORES TEXAS LLC
1003 TELEPHONE CIR
MERKEL, TX79536
 Phone: 325-928-4436
 Fax: 325-928-4698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WAL-MART STORES TEXAS LLC

NPI # 1114320918
LBN Legal business name WAL-MART STORES TEXAS LLC
Authorized official LAURA LEVINE - (DIR. HELATHCARE CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2014
Last updated 09/08/2016 - About 10 years ago
Identifiers
TX License # 29450
TX Medicaid 467085
Other 2148843 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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