Wal-Mart Stores Texas LLC

NPI #1104844992 in Spring, Texas

Provider Information

NPI Number
1104844992
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jun 4, 2025

Practice Location

Address
155 LOUETTA XING
City
Spring
State
Texas
ZIP Code
77373-3007
Phone
(281) 651-0216

Authorized Official

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

Specialties & Taxonomy Codes

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

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