Wal-Mart Stores Texas LLC

NPI #1538186796 in Hillsboro, Texas

Provider Information

NPI Number
1538186796
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 29, 2025

Practice Location

Address
401 COKE AVE
State
Texas
ZIP Code
76645-2671
Phone
(254) 582-7435

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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