Wal-Mart Stores Texas LLC

NPI #1669915492 in Castroville, Texas

Provider Information

NPI Number
1669915492
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy
Enumeration Date
Nov 28, 2016
Last Updated
Jun 6, 2025

Practice Location

Address
1151 US HIGHWAY 90 E
State
Texas
ZIP Code
78009-5306
Phone
(830) 538-6388

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
Pharmacy

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