Wal-Mart Stores Texas LLC

NPI #1265892657 in Spring, Texas

Provider Information

NPI Number
1265892657
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 29, 2016
Last Updated
Jun 6, 2025

Practice Location

Address
2901 RILEY FUZZELL RD
City
Spring
State
Texas
ZIP Code
77386-4489
Phone
(832) 823-7813

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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