Wal-Mart Stores Texas LLC
NPI #1093109589 in Greenville, Texas
Provider Information
- NPI Number
- 1093109589
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 24, 2015
- Last Updated
- Jun 10, 2025
Practice Location
- Address
- 4715 WESLEY ST
- City
- Greenville
- State
- Texas
- ZIP Code
- 75401-5647
- Phone
- (903) 259-5292
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 Pharmacy — Community/Retail Pharmacy |
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