Wal-Mart Stores Texas LLC

NPI #1205944592 in Buda, Texas

Provider Information

NPI Number
1205944592
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 27, 2006
Last Updated
Jul 9, 2025

Practice Location

Address
690 OLD SAN ANTONIO RD
City
Buda
State
Texas
ZIP Code
78610-2108
Phone
(512) 312-2256

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR ENROLLMENT
Phone
(479) 371-1168

Specialties & Taxonomy Codes

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

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