Wal-Mart Stores Texas LLC

NPI #1134667645 in Anna, Texas

Provider Information

NPI Number: 1134667645
Entity Type: Organization
Organization Name: Wal-Mart Stores Texas LLC
Primary Specialty: Pharmacy
Enumeration Date: Feb 3, 2017
Last Updated: Jun 12, 2025

Practice Location

Address: 521 S. CENTRAL EXPRESS WAY
City: Anna
State: Texas
ZIP Code: 75409
Phone: (972) 924-3368

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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