Wal-Mart Stores, Inc.

NPI #1063880375 in Augusta, Kansas

Provider Information

NPI Number
1063880375
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 3, 2015
Last Updated
Oct 6, 2015

Practice Location

Address
719 W 7TH AVE
State
Kansas
ZIP Code
67010-1314
Phone
(316) 347-2724

Authorized Official

Name
DEB LAUVER
Title
SPECIALIST PLAN ENROLLMENT
Phone
(479) 258-2115

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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