Wal-Mart Stores Texas LLC

NPI #1679951016 in Cibolo, Texas

Provider Information

NPI Number
1679951016
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 18, 2015
Last Updated
Jun 9, 2025

Practice Location

Address
602 CIBOLO VALLEY DR
City
Cibolo
State
Texas
ZIP Code
78108-3801
Phone
(210) 659-9245

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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