Wal-Mart Stores Texas LLC

NPI #1376560516 in Pecos, Texas

Provider Information

NPI Number
1376560516
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 4, 2025

Practice Location

Address
1903 S CEDAR ST
City
Pecos
State
Texas
ZIP Code
79772-6204
Phone
(432) 445-4255

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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