Wal-Mart Stores Texas LLC

NPI #1396296711 in Hewitt, Texas

Provider Information

NPI Number
1396296711
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy
Enumeration Date
Oct 20, 2016
Last Updated
Jun 9, 2025

Practice Location

Address
733 SUN VALLEY BLVD
City
Hewitt
State
Texas
ZIP Code
76643-3535
Phone
(254) 340-6601

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
Pharmacy

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