Wal-Mart Stores Texas LLC

NPI #1841217072 in Mission, Texas

Provider Information

NPI Number
1841217072
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
2410 E INTERSTATE HIGHWAY 2
State
Texas
ZIP Code
78572-8101
Phone
(956) 585-5783

Authorized Official

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

Specialties & Taxonomy Codes

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

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