Wal-Mart Stores Texas LLC

NPI #1073861134 in Plano, Texas

Provider Information

NPI Number
1073861134
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 21, 2012
Last Updated
Jun 6, 2025

Practice Location

Address
3513 E PARK BLVD
City
Plano
State
Texas
ZIP Code
75074-3112
Phone
(469) 304-3148

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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