Walmart Pharmacy 10-4367

LBN: Wal-Mart Stores Texas, Llc
Walmart Pharmacy 10-4367 is an health care organization with primary practice located at 3302 Summerhill Rd , Texarkana TX 75503-3905. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores Texas, Llc can be contacted via phone (903) 716-7019, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
3302 Summerhill Rd Texarkana TX 75503-3905
Fax: (903) 716-7020
Website:
Authorized official contact:
Name: Little, Sarah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 29542 Texas

Profile Details

NPI number 1427452168
LBN Legal business name Wal-Mart Stores Texas, Llc
DBA Doing business as Walmart Pharmacy 10-4367
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2014
Last updated Aug 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427452168 NPPES
Texas MEDICAID 470146
Texas MEDICAID 208759407
Texas Other 2149122

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