Wal-Mart Stores Texas, LLC

NPI #1275067977 in Mesquite, Texas

Provider Information

NPI Number
1275067977
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WAL-MART STORES, INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 19, 2017
Last Updated
Jun 11, 2025

Practice Location

Address
1951 MILITARY PARKWAY
State
Texas
ZIP Code
75149
Phone
(469) 357-5453

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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