Wal-Mart Stores Texas LLC
Pharmacy, Community/Retail Pharmacy in Cuero, TX. Organization (NPI-2).
NPI number1104843382
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1104843382
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores Texas LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21799 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Walmart Pharmacy 10-0385 (Doing Business As)
Practice location
1202 E Broadway StCuero, TX 77954-2124
Phone 361-275-9260
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-1238 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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Other Community/Retail Pharmacy providers in Cuero, TX
- Brookshire Brothers INCNPI 1558029108
- H-E-B, LPNPI 1649658279
- Lifechek Cuero LPNPI 1871608075
- Schley PharmaciesNPI 1497639959
All 5 Community/Retail Pharmacy providers in Cuero · All 141 providers in Cuero
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