Wal-Mart Stores Texas LLC

NPI #1114051257 in Pflugerville, Texas

Provider Information

NPI Number
1114051257
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 14, 2007
Last Updated
Jun 13, 2025

Practice Location

Address
1548 FM 685
State
Texas
ZIP Code
78660-3576
Phone
(512) 252-0197

Authorized Official

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

Specialties & Taxonomy Codes

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

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