Wal-Mart Stores Texas LLC

NPI #1699179358 in Wylie, Texas

Provider Information

NPI Number
1699179358
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 9, 2014
Last Updated
Jun 9, 2025

Practice Location

Address
1400 MCCREARY RD
City
Wylie
State
Texas
ZIP Code
75098-8776
Phone
(972) 202-4368

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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