Wal-Mart Stores Texas LLC

NPI #1508260266 in Mission, Texas

Provider Information

NPI Number
1508260266
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 9, 2014
Last Updated
Jun 9, 2025

Practice Location

Address
1006 N BRYAN RD
State
Texas
ZIP Code
78572-0240
Phone
(956) 391-3422

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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