<Unavail>
LBN: Wal-Mart Stores Texas, Llc
<Unavail> is an health care organization with primary practice located at 717 W Berry St , Fort Worth TX 76110-3530. 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) 840-0263, or through Canonic, Kimberly via phone (480) 277-6348.
Contact Information
Primary practice address
717 W Berry St
Fort Worth TX 76110-3530
Phone: (817) 840-0263
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 28361 | Texas |
Profile Details
| NPI number | 1275872756 |
|---|---|
| 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 | Feb 4th, 2013 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275872756 | NPPES |
| Texas | MEDICAID | 1275872756 | |
| Texas | MEDICAID | 468822 | |
| Texas | Other | 2138806 |
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