Wal-Mart Stores Texas LLC

NPI #1255755393 in Bryan, Texas

Provider Information

NPI Number
1255755393
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 10, 2014
Last Updated
Jun 5, 2025

Practice Location

Address
643 N HARVEY MITCHELL PKWY
City
Bryan
State
Texas
ZIP Code
77807-1012
Phone
(979) 599-9208

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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