Organization · NPI-2
Wal-Mart Stores Texas LLC
Pharmacy, Community/Retail Pharmacy · Highland Village, TX
NPI number1851591713
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1851591713
- Entity type
- Organization (NPI-2)
- Legal business name
- Wal-Mart Stores Texas LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2007
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 25692 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Walmart Pharmacy 10-4240 (Doing Business As)
Practice location
3060 Fm 407Highland Village, TX 75077-7047
Phone 972-317-1947
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-1238 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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.