Wal-Mart Stores Texas LLC

NPI #1174540348 in Humble, Texas

Provider Information

NPI Number
1174540348
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 16, 2025

Practice Location

Address
9451 FM 1960 BYPASS RD W
City
Humble
State
Texas
ZIP Code
77338-4035
Phone
(281) 540-8861

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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