Wal-Mart Stores Texas LLC

NPI #1053551598 in Penitas, Texas

Provider Information

NPI Number
1053551598
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 24, 2009
Last Updated
Aug 6, 2025

Practice Location

Address
1705 EXPRESSWAY 83
State
Texas
ZIP Code
78576-8333
Phone
(956) 580-1511

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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