Wal-Mart Stores Texas LLC

NPI #1851591713 in Highland Village, Texas

Provider Information

NPI Number
1851591713
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 19, 2007
Last Updated
Aug 12, 2025

Practice Location

Address
3060 FM 407
State
Texas
ZIP Code
75077-7047
Phone
(972) 317-1947

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 PharmacyCommunity/Retail Pharmacy

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