WAL-MART STORES TEXAS LLC NPI 1285978692

NPI Information

WAL-MART STORES TEXAS LLC is an eyewear supplier in Fort Worth, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WAL-MART STORES TEXAS LLC NPI is 1285978692. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wal-mart Pharmacy 30-3044.

The provider's business location address is:

2900 RENAISSANCE SQUARE
FORT WORTH, TX
ZIP 76105
Phone: (817) 900-1912

The provider's authorized official is Amy Powers .
The authorized official title is Specialist, Plan Enrollment and has the following contact phone number (479) 204-0709.

The CLIA number assigned to this NPI record is 45D2297069 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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