Wal-Mart Stores Texas LLC
NPI #1992722151 in Port Isabel, Texas
Provider Information
- NPI Number
- 1992722151
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores Texas LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 1401 WEST HWY 100
- City
- Port Isabel
- State
- Texas
- ZIP Code
- 78578
- Phone
- (956) 943-3512
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 Pharmacy — Community/Retail Pharmacy |
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