Wal-Mart Stores Texas LLC

NPI #1396762522 in Azle, Texas

Provider Information

NPI Number
1396762522
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 13, 2025

Practice Location

Address
721 BOYD RD
City
Azle
State
Texas
ZIP Code
76020-4811
Phone
(817) 270-5838

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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