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Organization
WAL-MART STORES TEXAS LLC
Active
Organization
WAL-MART STORES TEXAS LLC
Active
Parent organization
WALMART INC.
Other names
Walmart Pharmacy 10-2463
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALMART INC.
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
355 STONEBROOK PKWY, FRISCO, TX 75036-3076
(972) 987-8766
(972) 987-8767
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
06/11/2025
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