Wal-Mart Stores, INC
NPI #1104907146 in Lacey, Washington
Provider Information
- NPI Number
- 1104907146
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, INC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1401 GALAXY DR NE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98516-4746
- Phone
- (360) 456-6550
Authorized Official
- Name
- NICOLE D GENTILE
- Title
- NPI COORDINATOR
- Phone
- (316) 788-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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