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Wal-Mart Stores Texas LLC — NPI 1093732232, Brady, TX | NPI Central

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NPI 1093732232

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

Community/Retail PharmacyPrimary3336C0003XLicense 21599 (TX)
Suppliers
Specialty Pharmacy3336S0011X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

2207 S Bridge St

Brady, TX 76825-7443

Phone: (325) 597-4457

Approximate (ZIP-level) locationGet directions

More TX providers

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.