Organization · Type 2 NPI

Wal-Mart Stores Texas LLC

Community/Retail Pharmacy · Grapevine, TX

NPI number 1104843341 Active

Practice location

1601 W State Highway 114
Grapevine, TX 76051-8651

Call (817) 488-6682 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	21784 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

8 other providers at this address

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About NPI 1104843341

Wal-Mart Stores Texas LLC's National Provider Identifier is 1104843341, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grapevine, TX. The record was last updated on May 29, 2025.