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Contact Information

WAL-MART STORES TEXAS LLC
301 S HIGHWAY 69
WHITEWRIGHT, TX75491
 Phone: 903-364-2562
 Fax: 903-364-5183
 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
Indicates primary specialty

NPI Profile & details for WAL-MART STORES TEXAS LLC

NPI Number 1659774339
LBN Legal business name WAL-MART STORES TEXAS LLC
Authorized official LAURA LEVINE - (DIR. HEALTHCARE CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2014
Last updated 04/28/2015 - About 11 years ago
Identifiers
TX License # 29545
Other 2148631 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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