WAL-MART STORES TEXAS LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

WAL-MART STORES TEXAS LLC

8538 IH 35 SOUTH
SAN ANTONIO, TX 78211

Phone: 210-810-3686
Fax: 210-927-4421
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for WAL-MART STORES TEXAS LLC

NPI Number 1578903282

LBN Legal business name WAL-MART STORES TEXAS LLC

Authorized official KIMBERLY CANONIC - (SENIOR DIRECTOR, ENROLLMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/26/2013

Last updated 06/05/2025 - About 12 months ago

Identifiers

TX	License #	28783
TX	Medicaid	1578903282
TX	Medicaid	469647
	Other	2141274	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WAL-MART STORES TEXAS LLC

Contact Information

Specialty

Community/Retail Pharmacy

Durable Medical Equipment & Medical Supplies

NPI Profile & details for WAL-MART STORES TEXAS LLC

Reviews for WAL-MART STORES TEXAS LLC