Wal-Mart Stores Texas LLC
Pharmacy, Community/Retail Pharmacy in Dallas, TX. Organization (NPI-2).
NPI number1497040554
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1497040554
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores Texas LLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2011
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 27580 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-5823 (Doing Business As)
Practice location
6185 Retail Rd Ste 200Dallas, TX 75231-7807
Phone 972-656-2215
Mailing address
702 Sw 8th StBentonville, AR 72716-6209
Phone 479-277-1238 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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