Wal-Mart Stores Texas LLC

NPI #1831116060 in Port Arthur, Texas

Provider Information

NPI Number
1831116060
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 16, 2006
Last Updated
May 30, 2025

Practice Location

Address
4999 N TWIN CITY HWY
State
Texas
ZIP Code
77642-5827
Phone
(409) 963-2182

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 277-6348

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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