Wal-Mart Stores Texas LLC
NPI #1770501470 in Montgomery, Texas
Provider Information
- NPI Number
- 1770501470
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Jul 2, 2025
Practice Location
- Address
- 18700 HIGHWAY 105 W
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77356-5625
- Phone
- (936) 582-1005
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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