Wal-Mart Stores Texas LLC

NPI #1982064374 in Princeton, Texas

Provider Information

NPI Number
1982064374
Entity Type
Organization
Organization Name
Wal-Mart Stores Texas LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 29, 2016
Last Updated
Jun 9, 2025

Practice Location

Address
701 W PRINCETON DR
State
Texas
ZIP Code
75407-9002
Phone
(972) 736-6866

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 PharmacyCommunity/Retail Pharmacy

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