Wal-Mart Stores Texas LLC
NPI #1790125508 in Crossroads, Texas
Provider Information
- NPI Number
- 1790125508
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 26, 2013
- Last Updated
- Jul 7, 2025
Practice Location
- Address
- 11700 US HIGHWAY 380
- City
- Crossroads
- State
- Texas
- ZIP Code
- 76227-8200
- Phone
- (940) 488-7011
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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