Wal-Mart Stores Texas LLC

NPI #1649661695 in Kyle, Texas

Provider Information

NPI Number
1649661695
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 12, 2015
Last Updated
Jun 5, 2025

Practice Location

Address
5754 KYLE PKWY
City
Kyle
State
Texas
ZIP Code
78640-2404
Phone
(512) 268-0412

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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