<Unavail>

LBN: Wal-Mart Stores Texas Llc
<Unavail> is an health care organization with primary practice located at 2900 Renaissance Sq , Fort Worth TX 76105-5200. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wal-Mart Stores Texas Llc can be contacted via phone (817) 900-1912, or through Canonic, Kimberly via phone (480) 277-6348.

Contact Information

Primary practice address
2900 Renaissance Sq Fort Worth TX 76105-5200
Phone: (817) 900-1912
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 277-6348

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 28318 Texas

Profile Details

NPI number 1598009375
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 Nov 19th, 2012
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 1598009375 NPPES
Texas MEDICAID 1598009375
Texas MEDICAID 470145
Texas Other 2138059

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