Wal-Mart Stores Texas LLC

NPI #1578581344 in Greenville, Texas

Provider Information

NPI Number
1578581344
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 18, 2006
Last Updated
Jun 3, 2025

Practice Location

Address
7401 INTERSTATE HIGHWAY 30
State
Texas
ZIP Code
75402-7121
Phone
(903) 454-6646

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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