Wal-Mart Stores Texas LLC
NPI #1114035409 in League City, Texas
Provider Information
- NPI Number
- 1114035409
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 27, 2006
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- 1701 W FM 646 RD
- City
- League City
- State
- Texas
- ZIP Code
- 77573-4968
- Phone
- (281) 337-9713
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 Pharmacy — Community/Retail Pharmacy |
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