Wal-Mart Stores Texas LLC

NPI #1093734006 in Rockwall, Texas

Provider Information

NPI Number
1093734006
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 19, 2006
Last Updated
Jul 2, 2025

Practice Location

Address
850 W RUSK ST
State
Texas
ZIP Code
75087-3421
Phone
(972) 772-6853

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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