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Wal-mart Stores Texas Llc
Specialty Pharmacy in Jacksonville, Texas
NPI 1447277611

Wal-mart Stores Texas Llc is a Specialty Pharmacy based in Bentonville, TX and is specialized in Specialty Pharmacy. Wal-mart Stores Texas Llc practices in Jacksonville, TX. The NPI Number for Wal-mart Stores Texas Llc is 1447277611 and holds a License No. (Texas).

The current practice location address for Wal-mart Stores Texas Llc is 1311 S Jackson St, Jacksonville, TX and can be reached out via phone at 903-586-1164.

Location: 1311 S Jackson St, Jacksonville, TX, 72716-0445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447277611
Provider Name
Wal-mart Stores Texas Llc
Credential
Provider Entity Type
Organization
Address
1311 S Jackson St, Jacksonville, TX, 72716-0445
Phone Number
903-586-1164
Fax Number
Provider Enumeration Date
07/16/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
468494 05 TX
2100390 01 PK
institution
Provider Business Practice Location Address Details
Address
1311 S Jackson St
City
Jacksonville
State
Texas
Zip
75766-3050
Phone Number
903-586-1164
Fax Number
person
Provider Business Mailing Address Details
Address
1311 S Jackson St
City
Jacksonville
State
Texas
Zip
75766-3050
Phone Number
903-586-1164
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
21674 (Texas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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