Wal-Mart Stores Texas LLC
Wal-Mart Stores Texas LLC is a Durable Medical Equipment & Medical Supplies in Nacogdoches, Texas. Licensed in Texas. Registered with an NPI since 2015.
- Licensed in
- TX
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1030 N University DrNacogdoches, TX 75961-4208
Phone: (936) 585-7810
Fax: (936) 585-7809
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 30228 (TX) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1538531520 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348 |
| Other names | Walmart Pharmacy 10-4674 |
| NPI enumerated | October 29, 2015 |
| Last updated in NPPES | June 10, 2025 |
| Certification date | June 10, 2025 |
| Mailing address | 702 Sw 8th St, Mailstop 0445, Bentonville, AR 72716-0445 |
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Shannon L. Smith MD PA
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4721 N St, Nacogdoches, TX 75965-1874 · (409) 502-8238
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Wal-Mart Stores Texas LLC
4810 N St, Nacogdoches, TX 75965-1876 · (936) 564-1158