Wal-Mart Stores, Inc.

NPI #1104926997 in Gardner, Kansas

Provider Information

NPI Number
1104926997
Entity Type
Organization
Organization Name
Wal-Mart Stores, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 22, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
1555 E. SANTA FE ST.
State
Kansas
ZIP Code
66030
Phone
(913) 884-7685

Authorized Official

Name
TAMMY J BOYD
Title
CONTRACT COORDINATOR
Phone
(479) 277-1359

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician
Eyewear Supplier

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