Wal-Mart Stores INC

NPI #1063762359 in Saint Cloud, Minnesota

Provider Information

NPI Number
1063762359
Entity Type
Organization
Organization Name
Wal-Mart Stores INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 13, 2012
Last Updated
Sep 13, 2012

Practice Location

Address
3601 2ND ST S
ZIP Code
56301-3762
Phone
(320) 253-1505

Authorized Official

Name
DIANNA PAINTER
Title
ENROLLMENT SPECIALIST
Phone
(479) 277-1238

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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