Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WAL-MART STORES TEXAS, LLC
Active
Organization
WAL-MART STORES TEXAS, LLC
Active
Other names
Walmart Pharmacy 10-0263
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 853-0515
Entity
Organization
Contact information
Practice address
16600 FM 423, FRISCO, TX 75034
(972) 324-0699
(972) 324-0686
Mailing address
1 CUSTOMER DR, BENTONVILLE, AR 72716-0445
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up