Wal-Mart Stores, Inc.
NPI #1114250834 in Fargo, North Dakota
Provider Information
- NPI Number
- 1114250834
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Sep 14, 2009
Practice Location
- Address
- 3757 55TH AVE SO
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58104
- Phone
- (701) 526-1167
Authorized Official
- Name
- HOLLY C WILKINSON
- Title
- HEALTH & WELLNESS OPTICAL INSURANCE
- Phone
- (479) 204-8320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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