Wal-Mart Stores Texas LLC

NPI #1114944253 in Hickory Creek, Texas

Provider Information

NPI Number
1114944253
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 18, 2025

Practice Location

Address
1035 HICKORY CREEK BLVD
State
Texas
ZIP Code
75065-7552
Phone
(940) 321-5686

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 PharmacyCommunity/Retail Pharmacy

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