Wal-Mart Stores Texas LLC

NPI #1336519818 in Cypress, Texas

Provider Information

NPI Number
1336519818
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 28, 2015
Last Updated
Jun 10, 2025

Practice Location

Address
11425 BARKER CYPRESS RD
State
Texas
ZIP Code
77433-5327
Phone
(832) 349-7189

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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