Wal-Mart Stores Texas LLC

NPI #1285168039 in Prosper, Texas

Provider Information

NPI Number
1285168039
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy
Enumeration Date
Apr 19, 2017
Last Updated
Jun 12, 2025

Practice Location

Address
500 RICHLAND BOULEVARD
State
Texas
ZIP Code
75078
Phone
(972) 347-9572

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
Pharmacy

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