Provider Information for 1609893866
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
WAL-MART STORES TEXAS LLC
Other Names:Doing Business As:WALMART PHARMACY 10-1154Organization Subpart: NO
NPI: 1609893866
Last Updated: 2017-02-15
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1609893866 | ||||||||||||||||
Enumeration Date | 2006-07-16 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: SARAH LITTLE Title: Director of Healthcare Contracting Phone: 4792772500 | ||||||||||||||||
Mailing Address | 702 SW 8TH ST BENTONVILLE, AR 72716-0445 United States Phone: 479-277-1238 | Fax:479-277-4331 | ||||||||||||||||
Primary Practice Address | 1435 E MAIN ST FREDERICKSBURG, TX 78624-5273 United States Phone: 830-997-3047 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | |||||||||||||||||
Health Information Exchange |
| ||||||||||||||||
Other Identifiers |
| ||||||||||||||||
Taxonomy |
|