Wal-Mart Stores Texas LLC

NPI #1093106411 in Brownsville, Texas

Provider Information

NPI Number
1093106411
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 6, 2015
Last Updated
Jun 9, 2025

Practice Location

Address
2205 RUBEN TORRES SR BLVD
State
Texas
ZIP Code
78526-7439
Phone
(956) 509-2078

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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