Wal-Mart Stores Texas LLC

NPI #1497773261 in Kilgore, Texas

Provider Information

NPI Number
1497773261
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
1201 STONE ST
State
Texas
ZIP Code
75662-5433
Phone
(903) 983-1056

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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