Wal-Mart Stores Texas LLC

NPI #1750446860 in Midlothian, Texas

Provider Information

NPI Number
1750446860
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
400 N HIGHWAY 67
State
Texas
ZIP Code
76065-8000
Phone
(972) 775-4708

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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