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Wal-Mart Stores Texas LLC

Pharmacy, Community/Retail Pharmacy in Spring, TX. Organization (NPI-2).

NPI number1104844992
StatusActive
Last updated in NPPESJun 4, 2025

Details

NPI
1104844992
Entity type
Organization (NPI-2)
Legal business name
Wal-Mart Stores Texas LLC
Organization subpart
No
Enumeration date
Jul 18, 2006
Certification date
Jun 4, 2025
Last updated
Jun 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy21726TXYes
333600000X Pharmacy––
332B00000X Durable Medical Equipment & Medical Supplies––

Other names

  • Walmart Pharmacy 10-0849 (Doing Business As)

Practice location

155 Louetta Xing
Spring, TX 77373-3007

Phone 281-651-0216

Mailing address

702 Sw 8th St
Bentonville, AR 72716-0445

Phone 479-277-1238 · Fax 479-277-4331

Authorized official

Kimberly Canonic
Senior Director, Enrollment
4802776348

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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