Wal-Mart Stores, Inc.

NPI #1043637770 in Battle Ground, Washington

Provider Information

NPI Number
1043637770
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 19, 2014
Last Updated
Mar 20, 2014

Practice Location

Address
1201 SW 13TH AVE
ZIP Code
98604-2800
Phone
(360) 723-9010

Authorized Official

Name
LAURA LEVIN
Title
DIRECTOR, HEALTHCARE CONTRACTING
Phone
(479) 204-8550

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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