Wal-Mart Stores Texas LLC

NPI #1205143260 in Benbrook, Texas

Provider Information

NPI Number
1205143260
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 10, 2010
Last Updated
Aug 6, 2025

Practice Location

Address
8840 BENBROOK BLVD
State
Texas
ZIP Code
76126-3440
Phone
(682) 233-6827

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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