Organization · Type 2 NPI

Wal-Mart Stores Texas LLC

Community/Retail Pharmacy · Tyler, TX

NPI number 1124047139 Active

Practice location

6801 S Broadway Ave
Tyler, TX 75703-4733

Call (903) 581-4842 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	21621 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

Other community/retail pharmacy providers in Tyler

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NPI record

NPI: 1124047139
Entity type: Organization (Type 2)
Issued: Jul 19, 2006
Last updated: Aug 29, 2023
Status: Active

Other names

<unavail>
Walmart Pharmacy 10-2688 · doing business as
Walmart Pharmacy 10-2688 · doing business as

Authorized official

Sarah Little
Director of Healthcare Contracting
(479) 277-2500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124047139

Wal-Mart Stores Texas LLC's National Provider Identifier is 1124047139, issued on Jul 19, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tyler, TX. The record was last updated on Aug 29, 2023.