Wal-Mart Stores Texas LLC
NPI #1255791562 in San Angelo, Texas
Provider Information
- NPI Number
- 1255791562
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 29, 2016
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 5154 KNICKERBOCKER RD
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76904-7714
- Phone
- (325) 276-6620
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- DIRECTOR
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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