Wal-Mart Stores Texas LLC

NPI #1558388728 in Angleton, Texas

Provider Information

NPI Number
1558388728
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
1801 N VELASCO ST
State
Texas
ZIP Code
77515-3014
Phone
(979) 849-3028

Authorized Official

Name
KIMBERLY CANONIC
Title
CMS ESMD EMDR
Phone
(480) 277-6348

Specialties & Taxonomy Codes

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

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