Wal-Mart Stores Texas LLC

NPI #1184019358 in El Paso, Texas

Provider Information

NPI Number
1184019358
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 3, 2015
Last Updated
Jun 9, 2025

Practice Location

Address
10840 MARTIN LUTHER KING JR BLVD
State
Texas
ZIP Code
79934-4000
Phone
(915) 730-6195

Authorized Official

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

Specialties & Taxonomy Codes

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

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