Wal-Mart Stores Texas LLC

NPI #1669537775 in Quinlan, Texas

Provider Information

NPI Number
1669537775
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 27, 2006
Last Updated
Jul 9, 2025

Practice Location

Address
8801 HIGHWAY 34 S
State
Texas
ZIP Code
75474-9434
Phone
(903) 356-1013

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

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

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