Wal-Mart Stores Texas LLC

NPI #1114263126 in Lucas, Texas

Provider Information

NPI Number
1114263126
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 19, 2012
Last Updated
Jun 5, 2025

Practice Location

Address
2662 W LUCAS RD
City
Lucas
State
Texas
ZIP Code
75002-7513
Phone
(469) 675-8110

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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