Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wal-Mart Stores Texas LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1255755393

Wal-Mart Stores Texas LLC is a Durable Medical Equipment & Medical Supplies in Bryan, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

643 N Harvey Mitchell Pkwy
Bryan, TX 77807-1012
Phone: (979) 599-9208
Fax: (979) 599-9048
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 28988 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1255755393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4183
NPI enumeratedFebruary 10, 2014
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

Other providers in Bryan