Wal-Mart Stores Texas LLC

NPI #1457378630 in Vidor, Texas

Provider Information

NPI Number
1457378630
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 30, 2025

Practice Location

Address
1360 N MAIN ST
City
Vidor
State
Texas
ZIP Code
77662-3727
Phone
(409) 769-1691

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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