Wal-Mart Stores Texas LLC

NPI #1285073346 in Haslet, Texas

Provider Information

NPI Number
1285073346
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jun 21, 2013
Last Updated
Jun 16, 2025

Practice Location

Address
2401 AVONDALE HASLET RD
City
Haslet
State
Texas
ZIP Code
76052-3221
Phone
(817) 302-1731

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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