Wal-Mart Stores, Inc.
NPI #1144303942 in Saint Cloud, Minnesota
Provider Information
- NPI Number
- 1144303942
- Entity Type
- Organization
- Organization Name
- Wal-Mart Stores, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 28, 2011
Practice Location
- Address
- 21 COUNTY RD 120
- City
- Saint Cloud
- State
- Minnesota
- ZIP Code
- 56303
- Phone
- (320) 259-5880
Authorized Official
- Name
- DIANNA M. PAINTER
- Title
- ENROLLMENT SPECIALIST
- Phone
- (479) 277-1238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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