Wal-Mart Stores Texas LLC

NPI #1104843218 in Mansfield, Texas

Provider Information

NPI Number
1104843218
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 30, 2025

Practice Location

Address
930 N WALNUT CREEK DR STE 800
State
Texas
ZIP Code
76063-8021
Phone
(817) 473-3014

Authorized Official

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

Specialties & Taxonomy Codes

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

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