Wal-Mart Stores Texas LLC

NPI #1457379281 in Giddings, Texas

Provider Information

NPI Number
1457379281
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jun 2, 2025

Practice Location

Address
2374 E AUSTIN ST
State
Texas
ZIP Code
78942-3644
Phone
(979) 542-0589

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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