Wal-Mart Stores Texas LLC

NPI #1659765139 in Temple, Texas

Provider Information

NPI Number
1659765139
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 24, 2015
Last Updated
Jun 9, 2025

Practice Location

Address
6801 W ADAMS AVE
City
Temple
State
Texas
ZIP Code
76502-0005
Phone
(254) 598-7594

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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