Wal-Mart Stores Texas LLC

NPI #1285037085 in Burleson, Texas

Provider Information

NPI Number
1285037085
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 7, 2014
Last Updated
Jul 2, 2025

Practice Location

Address
965 NW JOHN JONES DR
State
Texas
ZIP Code
76028-5288
Phone
(817) 840-4609

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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