Wal-Mart Stores Texas LLC

NPI #1184032955 in Ft Worth, Texas

Provider Information

NPI Number
1184032955
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 24, 2014
Last Updated
Jun 6, 2025

Practice Location

Address
2245 JACKSBORO HWY
State
Texas
ZIP Code
76114-2319
Phone
(817) 569-6241

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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