<Unavail>

LBN: Wal-Mart Stores Texas Llc
<Unavail> is an health care organization with primary practice located at 2245 Jacksboro Hwy , Ft Worth TX 76114-2319. 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 (817) 569-6241, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
2245 Jacksboro Hwy Ft Worth TX 76114-2319
Phone: (817) 569-6241
Fax: (817) 569-6242
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 29276 Texas

Profile Details

NPI number 1184032955
LBN Legal business name Wal-Mart Stores Texas Llc
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2014
Last updated Jun 6th, 2025 - 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 1184032955 NPPES
Other 2147049 PK
MEDICAID 469750 PK

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