<Unavail>

LBN: Wal-Mart Stores Texas Llc
<Unavail> is an health care organization with primary practice located at 2615 Ne Bob Bullock Loop , Laredo TX 78045-6785. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Wal-Mart Stores Texas Llc can be contacted via phone (956) 231-5595, or through Canonic, Kimberly via phone (480) 853-0515.

Contact Information

Primary practice address
2615 Ne Bob Bullock Loop Laredo TX 78045-6785
Phone: (956) 231-5595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 853-0515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 27768 Texas

Profile Details

NPI number 1114292075
LBN Legal business name Wal-Mart Stores Texas Llc
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2012
Last updated Jul 7th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114292075 NPPES
Other 2134317 PK
MEDICAID 469167 PK

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