Wal-Mart Stores Texas LLC

NPI #1528085792 in Crosby, Texas

Provider Information

NPI Number
1528085792
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
Jun 2, 2025

Practice Location

Address
14215 FM 2100 RD
City
Crosby
State
Texas
ZIP Code
77532-9152
Phone
(281) 328-3529

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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