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Organization
WAL-MART STORES TEXAS, LLC
Active
Organization
WAL-MART STORES TEXAS, LLC
Active
Parent organization
WAL-MART STORES, INC
Other names
Walmart Pharmacy 10-5824
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
1951 MILITARY PARKWAY, MESQUITE, TX 75149
(469) 357-5453
(469) 357-5452
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
06/11/2025
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