Wal-Mart Stores Louisiana, LLC

NPI #1053494930 in Sulphur, Louisiana

Provider Information

NPI Number: 1053494930
Entity Type: Organization
Organization Name: Wal-Mart Stores Louisiana, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 23, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 525 N CITIES SERVICE HWY
City: Sulphur
State: Louisiana
ZIP Code: 70663-4107
Phone: (337) 625-2849

Authorized Official

Name: NICOLE D GENTILE
Title: NPI COORDINATOR
Phone: (316) 788-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Eyewear Supplier	332H00000X	Primary

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