Wal-Mart Stores, Inc.

NPI #1013101476 in Eagle Point, Oregon

Provider Information

NPI Number
1013101476
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Aug 29, 2007
Last Updated
Aug 29, 2007

Practice Location

Address
11500 HANNON RD
State
Oregon
ZIP Code
97524
Phone
(541) 826-3070

Authorized Official

Name
MISS SABRINA NICOLE SUTTON
Title
NPI ASSOCIATE
Phone
(479) 277-1175

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Technician/Technologist - OpticianOptician

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