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Wal-Mart Stores Texas LLC — NPI 1730107533, Ballinger, TX | NPI Central

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NPI 1730107533

OrganizationActive

Wal-Mart Stores Texas LLC

NPI 1730107533 · Community/Retail Pharmacy · Ballinger, TX

Provider details

NPI number: 1730107533
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 21610 (TX)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

2005 Hutchins Ave

Ballinger, TX 76821-4427

Phone: (325) 365-5741

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 10-1078

Registry dates

Enumerated: 2006-07-18
Last updated: 2025-06-05
Certified: 2025-06-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.