Wal-Mart Stores Texas LLC

NPI #1417975251 in Bryan, Texas

Provider Information

NPI Number
1417975251
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
May 29, 2025

Practice Location

Address
2200 BRIARCREST DR
City
Bryan
State
Texas
ZIP Code
77802-5000
Phone
(979) 776-0375

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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