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 Community/Retail Pharmacy · NPI 1588078364

Wal-Mart Stores Texas LLC is a Community/Retail Pharmacy in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2014.

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

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Practice location Address checks out

12639 Blanco Rd
San Antonio, TX 78216-8103
Phone: (210) 591-6285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 29161 (TX)

Record details

NPI number1588078364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Walmart Pharmacy 10-4162
NPI enumeratedJune 19, 2014
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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