OrganizationActive
Wal-Mart Stores Texas LLC
NPI 1093732232 · Community/Retail Pharmacy · Brady, TX
Provider details
- NPI number
- 1093732232
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment(480) 277-6348
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
2207 S Bridge St
Brady, TX 76825-7443
Phone: (325) 597-4457
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Walmart Pharmacy 10-0917
- Doing business as
- Walmart Pharmacy 10-0917
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.